Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $2,936.00 / $10,268.00	Facility		$700.00	$2,936.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.50 / $480.98 / $845.39	Professional		$402.50	$480.98	$845.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,405.00 / $14,996.00	Facility		$1,760.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.65 / $544.36 / $904.38	Professional		$405.65	$544.36	$904.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $431.73 / $554.09 / $735.90	Facility		$431.73	$554.09	$735.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $507.91 / $646.44 / $127,498.73	Professional		$507.91	$646.44	$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 $475.91 / $646.42 / $934.38	Professional		$475.91	$646.42	$934.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $558.35 / $558.35 / $558.35	Facility		$558.35	$558.35	$558.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $475.91 / $646.42 / $942.55	Professional		$475.91	$646.42	$942.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $356.58 / $589.86	Professional		$71.16	$356.58	$589.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $384.34 / $581.42 / $926.59	Professional		$384.34	$581.42	$926.59