Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.39 / $1,090.41 / $11,627.00	Facility		$409.39	$1,090.41	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.27 / $402.26 / $714.87	Professional		$319.27	$402.26	$714.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $1,927.00 / $3,943.00	Facility		$814.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.22 / $343.83 / $590.89	Professional		$229.22	$343.83	$590.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $346.23 / $444.35 / $549.98	Facility		$346.23	$444.35	$549.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $445.25 / $566.67 / $127,498.73	Professional		$445.25	$566.67	$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 $370.29 / $507.42 / $737.45	Professional		$370.29	$507.42	$737.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $661.00 / $661.00 / $661.00	Facility		$661.00	$661.00	$661.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $379.73 / $518.41 / $737.45	Professional		$379.73	$518.41	$737.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $323.95 / $525.37	Professional		$34.85	$323.95	$525.37
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 $298.20 / $455.68 / $770.47	Professional		$298.20	$455.68	$770.47