Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.31 / $2,547.00 / $10,635.00	Facility		$497.31	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.92 / $334.44 / $598.50	Professional		$294.92	$334.44	$598.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,622.00 / $3,092.00 / $14,996.00	Facility		$1,622.00	$3,092.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.66 / $348.48 / $564.20	Professional		$240.66	$348.48	$564.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $307.24 / $394.32 / $523.71	Facility		$307.24	$394.32	$523.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $361.46 / $460.04 / $127,498.73	Professional		$361.46	$460.04	$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 $338.43 / $460.04 / $650.94	Professional		$338.43	$460.04	$650.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $396.91 / $396.91 / $396.91	Facility		$396.91	$396.91	$396.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $338.43 / $460.04 / $656.34	Professional		$338.43	$460.04	$656.34
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 $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 $265.17 / $406.12 / $681.42	Professional		$265.17	$406.12	$681.42