Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $687.26 / $3,325.00 / $10,635.00	Facility		$687.26	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.49 / $463.22 / $1,053.08	Professional		$404.49	$463.22	$1,053.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,121.00 / $2,786.00 / $8,800.00	Facility		$1,121.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.98 / $495.42 / $803.28	Professional		$375.98	$495.42	$803.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $424.92 / $545.35 / $724.29	Facility		$424.92	$545.35	$724.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $499.91 / $636.24 / $127,498.73	Professional		$499.91	$636.24	$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 $465.76 / $636.24 / $888.97	Professional		$465.76	$636.24	$888.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $545.70 / $545.70 / $545.70	Facility		$545.70	$545.70	$545.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $465.76 / $656.02 / $929.31	Professional		$465.76	$656.02	$929.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $335.22 / $562.28	Professional		$71.16	$335.22	$562.28
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 $371.74 / $591.69 / $927.79	Professional		$371.74	$591.69	$927.79