Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.46 / $2,547.00 / $10,635.00	Facility		$655.46	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.42 / $440.79 / $870.54	Professional		$384.42	$440.79	$870.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,622.00 / $3,092.00 / $14,996.00	Facility		$1,622.00	$3,092.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.72 / $488.07 / $818.57	Professional		$356.72	$488.07	$818.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $404.32 / $518.90 / $689.18	Facility		$404.32	$518.90	$689.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $475.66 / $605.39 / $127,498.73	Professional		$475.66	$605.39	$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 $448.88 / $605.38 / $840.36	Professional		$448.88	$605.38	$840.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $520.03 / $520.03 / $520.03	Facility		$520.03	$520.03	$520.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $448.88 / $605.38 / $862.50	Professional		$448.88	$605.38	$862.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $325.70 / $545.38	Professional		$71.16	$325.70	$545.38
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 $354.78 / $547.03 / $894.17	Professional		$354.78	$547.03	$894.17