Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $611.79 / $2,547.00 / $10,635.00	Facility		$611.79	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.61 / $411.43 / $812.39	Professional		$358.61	$411.43	$812.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,622.00 / $3,092.00 / $14,996.00	Facility		$1,622.00	$3,092.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $324.81 / $436.30 / $721.40	Professional		$324.81	$436.30	$721.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $376.73 / $483.50 / $642.15	Facility		$376.73	$483.50	$642.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $443.21 / $564.09 / $127,498.73	Professional		$443.21	$564.09	$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 $418.35 / $559.41 / $773.48	Professional		$418.35	$559.41	$773.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $485.07 / $485.07 / $485.07	Facility		$485.07	$485.07	$485.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $418.35 / $564.09 / $773.48	Professional		$418.35	$564.09	$773.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.21 / $336.10 / $521.84	Professional		$67.21	$336.10	$521.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $329.20 / $517.99 / $840.97	Professional		$329.20	$517.99	$840.97