Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.74 / $2,113.00 / $10,268.00	Facility		$251.74	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.80 / $237.95 / $419.56	Professional		$201.80	$237.95	$419.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,722.00 / $8,800.00	Facility		$1,145.00	$2,722.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.38 / $221.69 / $377.59	Professional		$153.38	$221.69	$377.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $217.92 / $279.68 / $371.46	Facility		$217.92	$279.68	$371.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $328.36 / $127,498.73	Professional		$257.99	$328.36	$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 $232.81 / $316.63 / $443.92	Professional		$232.81	$316.63	$443.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $415.55 / $415.55 / $415.55	Facility		$415.55	$415.55	$415.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $233.80 / $321.83 / $443.92	Professional		$233.80	$321.83	$443.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.41 / $190.53 / $290.70	Professional		$32.41	$190.53	$290.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,600.00 / $5,235.00	Facility		$1,689.00	$2,600.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $184.06 / $281.45 / $465.83	Professional		$184.06	$281.45	$465.83