Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.19 / $5,201.00 / $11,627.00	Facility		$615.19	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.01 / $413.71 / $811.14	Professional		$353.01	$413.71	$811.14
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 $325.95 / $464.35 / $746.07	Professional		$325.95	$464.35	$746.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $378.81 / $486.17 / $645.69	Facility		$378.81	$486.17	$645.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $445.65 / $567.20 / $127,498.73	Professional		$445.65	$567.20	$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 $411.96 / $567.19 / $777.77	Professional		$411.96	$567.19	$777.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $487.67 / $487.67 / $487.67	Facility		$487.67	$487.67	$487.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $411.96 / $567.19 / $777.77	Professional		$411.96	$567.19	$777.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.99 / $342.70 / $547.32	Professional		$63.99	$342.70	$547.32
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 $324.45 / $500.78 / $828.12	Professional		$324.45	$500.78	$828.12