Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.49 / $3,696.00 / $10,268.00	Facility		$613.49	$3,696.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.41 / $350.60 / $788.55	Professional		$292.41	$350.60	$788.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,525.00 / $3,264.00 / $14,996.00	Facility		$1,525.00	$3,264.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.49 / $405.01 / $682.84	Professional		$294.49	$405.01	$682.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $314.17 / $403.21 / $535.52	Facility		$314.17	$403.21	$535.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $369.61 / $470.41 / $127,498.73	Professional		$369.61	$470.41	$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 $346.37 / $470.41 / $677.56	Professional		$346.37	$470.41	$677.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $405.47 / $405.47 / $405.47	Facility		$405.47	$405.47	$405.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $346.37 / $475.90 / $688.18	Professional		$346.37	$475.90	$688.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $262.33 / $435.49	Professional		$34.85	$262.33	$435.49
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 $288.72 / $429.90 / $702.78	Professional		$288.72	$429.90	$702.78