Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.17 / $2,113.00 / $10,268.00	Facility		$283.17	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.11 / $217.93 / $405.50	Professional		$138.11	$217.93	$405.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,051.00 / $2,012.00 / $3,943.00	Facility		$1,051.00	$2,012.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.13 / $175.76 / $300.05	Professional		$120.13	$175.76	$300.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $148.72 / $190.87 / $236.24	Facility		$148.72	$190.87	$236.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $300.41 / $382.34 / $127,498.73	Professional		$300.41	$382.34	$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 $180.00 / $281.42 / $460.22	Professional		$180.00	$281.42	$460.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $284.08 / $284.08 / $284.08	Facility		$284.08	$284.08	$284.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $186.10 / $286.76 / $483.68	Professional		$186.10	$286.76	$483.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.41 / $254.82 / $385.11	Professional		$32.41	$254.82	$385.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,940.00 / $4,067.00	Facility		$1,020.00	$1,940.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $209.56 / $321.94 / $571.00	Professional		$209.56	$321.94	$571.00