Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $723.68 / $4,590.00 / $10,817.74	Facility		$723.68	$4,590.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.06 / $489.02 / $965.74	Professional		$421.06	$489.02	$965.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.00 / $5,770.00 / $30,285.00	Facility		$2,670.00	$5,770.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $412.11 / $557.66 / $909.95	Professional		$412.11	$557.66	$909.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $446.30 / $572.79 / $708.96	Facility		$446.30	$572.79	$708.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $525.05 / $668.26 / $127,498.73	Professional		$525.05	$668.26	$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 $497.05 / $668.27 / $970.88	Professional		$497.05	$668.27	$970.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $573.98 / $573.98 / $573.98	Facility		$573.98	$573.98	$573.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $497.05 / $668.48 / $977.49	Professional		$497.05	$668.48	$977.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $358.20 / $590.72	Professional		$71.16	$358.20	$590.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,920.00 / $7,853.00	Facility		$2,840.00	$5,920.00	$7,853.00
United Facility/Professional Professional Modifier Low / Median / High Price $411.20 / $616.84 / $982.17	Professional		$411.20	$616.84	$982.17