Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.69 / $4,723.00 / $10,817.74	Facility		$652.69	$4,723.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.29 / $438.93 / $869.09	Professional		$384.29	$438.93	$869.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,405.00 / $14,996.00	Facility		$1,712.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.35 / $556.74 / $943.16	Professional		$394.35	$556.74	$943.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $402.31 / $516.34 / $685.76	Facility		$402.31	$516.34	$685.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $473.31 / $602.39 / $127,498.73	Professional		$473.31	$602.39	$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 $449.26 / $619.35 / $895.11	Professional		$449.26	$619.35	$895.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $517.42 / $517.42 / $517.42	Facility		$517.42	$517.42	$517.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $449.26 / $623.90 / $905.95	Professional		$449.26	$623.90	$905.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $327.12 / $545.38	Professional		$71.16	$327.12	$545.38
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 $373.31 / $560.83 / $911.08	Professional		$373.31	$560.83	$911.08