Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.01 / $1,902.00 / $9,516.00	Facility		$412.01	$1,902.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.02 / $404.57 / $897.32	Professional		$338.02	$404.57	$897.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,412.00 / $8,800.00	Facility		$1,145.00	$2,412.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.60 / $371.87 / $607.82	Professional		$259.60	$371.87	$607.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $343.81 / $441.25 / $586.04	Facility		$343.81	$441.25	$586.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $436.57 / $555.63 / $127,498.73	Professional		$436.57	$555.63	$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 $377.23 / $516.44 / $745.30	Professional		$377.23	$516.44	$745.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $656.57 / $656.57 / $656.57	Facility		$656.57	$656.57	$656.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $386.10 / $533.17 / $745.30	Professional		$386.10	$533.17	$745.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $294.77 / $502.58	Professional		$34.85	$294.77	$502.58
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 $294.56 / $462.88 / $727.75	Professional		$294.56	$462.88	$727.75