Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.38 / $5,135.00 / $10,817.74	Facility		$682.38	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.98 / $460.44 / $825.04	Professional		$394.98	$460.44	$825.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,405.00 / $14,996.00	Facility		$1,712.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.38 / $482.03 / $777.71	Professional		$337.38	$482.03	$777.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $420.45 / $539.62 / $716.69	Facility		$420.45	$539.62	$716.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $494.65 / $629.54 / $127,498.73	Professional		$494.65	$629.54	$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 $465.34 / $629.54 / $904.14	Professional		$465.34	$629.54	$904.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $541.62 / $541.62 / $541.62	Facility		$541.62	$541.62	$541.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $465.34 / $629.54 / $906.64	Professional		$465.34	$629.54	$906.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $328.12 / $574.05	Professional		$71.16	$328.12	$574.05
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 $367.38 / $567.71 / $926.96	Professional		$367.38	$567.71	$926.96