Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $677.61 / $6,251.00 / $11,581.00	Facility		$677.61	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.51 / $455.69 / $903.11	Professional		$396.51	$455.69	$903.11
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 $336.09 / $478.64 / $784.49	Professional		$336.09	$478.64	$784.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $417.85 / $536.27 / $663.75	Facility		$417.85	$536.27	$663.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $491.58 / $625.65 / $127,498.73	Professional		$491.58	$625.65	$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 $460.32 / $620.90 / $856.69	Professional		$460.32	$620.90	$856.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $536.77 / $536.77 / $536.77	Facility		$536.77	$536.77	$536.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $466.11 / $625.65 / $887.41	Professional		$466.11	$625.65	$887.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $334.79 / $562.28	Professional		$71.16	$334.79	$562.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,321.00 / $6,831.00	Facility		$2,233.00	$4,321.00	$6,831.00
United Facility/Professional Professional Modifier Low / Median / High Price $365.87 / $559.33 / $921.03	Professional		$365.87	$559.33	$921.03