Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $847.72 / $6,492.00 / $10,268.00	Facility		$847.72	$6,492.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.86 / $420.59 / $931.34	Professional		$377.86	$420.59	$931.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.88 / $514.83 / $863.65	Professional		$367.88	$514.83	$863.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $366.34 / $470.17 / $624.45	Facility		$366.34	$470.17	$624.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $430.99 / $548.53 / $127,498.73	Professional		$430.99	$548.53	$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 $411.40 / $601.83 / $888.19	Professional		$411.40	$601.83	$888.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $469.44 / $469.44 / $5,346.63	Facility		$469.44	$469.44	$5,346.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $411.40 / $604.42 / $907.93	Professional		$411.40	$604.42	$907.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $319.96 / $517.70	Professional		$67.08	$319.96	$517.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $384.60 / $569.10 / $951.38	Professional		$384.60	$569.10	$951.38