Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.73 / $2,113.00 / $10,268.00	Facility		$390.73	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.38 / $383.52 / $688.31	Professional		$313.38	$383.52	$688.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,981.00 / $3,943.00	Facility		$937.00	$1,981.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.13 / $336.60 / $575.25	Professional		$238.13	$336.60	$575.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $329.42 / $422.78 / $561.51	Facility		$329.42	$422.78	$561.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $422.88 / $538.22 / $127,498.73	Professional		$422.88	$538.22	$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 $358.14 / $493.24 / $715.33	Professional		$358.14	$493.24	$715.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $628.65 / $628.65 / $628.65	Facility		$628.65	$628.65	$628.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $365.64 / $505.53 / $711.51	Professional		$365.64	$505.53	$711.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $252.26 / $514.23	Professional		$32.56	$252.26	$514.23
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.14 / $455.64 / $745.52	Professional		$302.14	$455.64	$745.52