Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $535.57 / $2,816.00 / $9,534.00	Facility		$535.57	$2,816.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.19 / $498.27 / $934.80	Professional		$424.19	$498.27	$934.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,012.00 / $3,943.00	Facility		$937.00	$2,012.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.24 / $549.30 / $912.46	Professional		$391.24	$549.30	$912.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $446.23 / $572.70 / $760.62	Facility		$446.23	$572.70	$760.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $531.45 / $676.40 / $127,498.73	Professional		$531.45	$676.40	$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 $499.37 / $676.39 / $961.63	Professional		$499.37	$676.39	$961.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $853.34 / $853.34 / $853.34	Facility		$853.34	$853.34	$853.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $499.37 / $680.80 / $979.24	Professional		$499.37	$680.80	$979.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $337.91 / $583.31	Professional		$71.16	$337.91	$583.31
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $404.89 / $615.22 / $1,009.86	Professional		$404.89	$615.22	$1,009.86