Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $678.51 / $3,265.00 / $10,635.00	Facility		$678.51	$3,265.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.18 / $520.07 / $1,021.96	Professional		$444.18	$520.07	$1,021.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,012.00 / $3,943.00	Facility		$937.00	$2,012.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.58 / $501.80 / $839.38	Professional		$353.58	$501.80	$839.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $477.49 / $612.82 / $813.90	Facility		$477.49	$612.82	$813.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $561.75 / $714.95 / $127,498.73	Professional		$561.75	$714.95	$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 $500.46 / $685.96 / $964.16	Professional		$500.46	$685.96	$964.16
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $615.63 / $615.63 / $615.63	Facility		$615.63	$615.63	$615.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $520.80 / $693.62 / $970.28	Professional		$520.80	$693.62	$970.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $367.62 / $629.22	Professional		$71.16	$367.62	$629.22
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $385.77 / $600.38 / $1,035.66	Professional		$385.77	$600.38	$1,035.66