Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.73 / $2,849.00 / $10,268.00	Facility		$482.73	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.75 / $468.06 / $837.66	Professional		$382.75	$468.06	$837.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.43 / $437.91 / $712.01	Professional		$319.43	$437.91	$712.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $402.74 / $516.89 / $639.76	Facility		$402.74	$516.89	$639.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $521.14 / $663.26 / $127,498.73	Professional		$521.14	$663.26	$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 $440.08 / $603.03 / $888.22	Professional		$440.08	$603.03	$888.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $768.83 / $768.83 / $768.83	Facility		$768.83	$768.83	$768.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $452.27 / $624.57 / $885.23	Professional		$452.27	$624.57	$885.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $366.29 / $628.52	Professional		$34.85	$366.29	$628.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,940.00 / $4,067.00	Facility		$1,020.00	$1,940.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $375.55 / $557.60 / $960.49	Professional		$375.55	$557.60	$960.49