Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.37 / $2,113.00 / $10,268.00	Facility		$292.37	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.90 / $251.95 / $497.03	Professional		$150.90	$251.95	$497.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,722.00 / $8,800.00	Facility		$1,145.00	$2,722.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.74 / $180.35 / $309.75	Professional		$117.74	$180.35	$309.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $149.60 / $192.00 / $255.00	Facility		$149.60	$192.00	$255.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $310.20 / $394.80 / $127,498.73	Professional		$310.20	$394.80	$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 $184.00 / $297.70 / $493.50	Professional		$184.00	$297.70	$493.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $285.79 / $285.79 / $285.79	Facility		$285.79	$285.79	$285.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $190.34 / $303.10 / $505.17	Professional		$190.34	$303.10	$505.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.67 / $256.52 / $398.47	Professional		$30.67	$256.52	$398.47
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 $221.81 / $342.37 / $575.77	Professional		$221.81	$342.37	$575.77