Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $729.49 / $5,201.00 / $11,627.00	Facility		$729.49	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.86 / $490.74 / $972.48	Professional		$419.86	$490.74	$972.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.08 / $559.09 / $905.19	Professional		$392.08	$559.09	$905.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $449.87 / $577.37 / $766.82	Facility		$449.87	$577.37	$766.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $529.25 / $673.60 / $127,498.73	Professional		$529.25	$673.60	$127,498.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $499.56 / $673.59 / $922.30	Professional		$499.56	$673.59	$922.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $578.80 / $578.80 / $578.80	Facility		$578.80	$578.80	$578.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $499.56 / $673.59 / $967.66	Professional		$499.56	$673.59	$967.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $358.20 / $590.72	Professional		$71.16	$358.20	$590.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $394.71 / $599.47 / $987.13	Professional		$394.71	$599.47	$987.13