Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $684.94 / $5,135.00 / $10,817.74	Facility		$684.94	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.06 / $460.62 / $910.64	Professional		$393.06	$460.62	$910.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,025.00 / $8,800.00	Facility		$1,152.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.86 / $484.04 / $798.32	Professional		$342.86	$484.04	$798.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $421.39 / $540.82 / $718.28	Facility		$421.39	$540.82	$718.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $495.75 / $630.95 / $127,498.73	Professional		$495.75	$630.95	$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 $469.19 / $611.53 / $859.77	Professional		$469.19	$611.53	$859.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $542.35 / $542.35 / $542.35	Facility		$542.35	$542.35	$542.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $469.19 / $630.96 / $865.60	Professional		$469.19	$630.96	$865.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $336.72 / $583.31	Professional		$71.16	$336.72	$583.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,356.62 / $2,297.00 / $4,922.00	Facility		$1,356.62	$2,297.00	$4,922.00
United Facility/Professional Professional Modifier Low / Median / High Price $360.64 / $559.17 / $927.12	Professional		$360.64	$559.17	$927.12