Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.76 / $2,485.00 / $10,635.00	Facility		$718.76	$2,485.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.80 / $483.36 / $947.79	Professional		$411.80	$483.36	$947.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,722.00 / $8,800.00	Facility		$1,145.00	$2,722.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.20 / $502.64 / $832.20	Professional		$372.20	$502.64	$832.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $442.33 / $567.70 / $753.98	Facility		$442.33	$567.70	$753.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $520.39 / $662.31 / $127,498.73	Professional		$520.39	$662.31	$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 $485.37 / $655.89 / $908.73	Professional		$485.37	$655.89	$908.73
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $570.63 / $570.63 / $570.63	Facility		$570.63	$570.63	$570.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $485.37 / $662.31 / $908.73	Professional		$485.37	$662.31	$908.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $366.60 / $603.86	Professional		$71.16	$366.60	$603.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,600.00 / $5,235.00	Facility		$1,689.00	$2,600.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $389.04 / $604.02 / $994.62	Professional		$389.04	$604.02	$994.62