Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.33 / $2,113.00 / $10,268.00	Facility		$508.33	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.51 / $504.82 / $907.29	Professional		$418.51	$504.82	$907.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,981.00 / $3,943.00	Facility		$937.00	$1,981.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $356.89 / $491.69 / $777.98	Professional		$356.89	$491.69	$777.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $436.99 / $560.83 / $744.86	Facility		$436.99	$560.83	$744.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $548.13 / $697.62 / $127,498.73	Professional		$548.13	$697.62	$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 $488.34 / $665.55 / $952.69	Professional		$488.34	$665.55	$952.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $834.70 / $834.70 / $834.70	Facility		$834.70	$834.70	$834.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $490.73 / $672.71 / $947.23	Professional		$490.73	$672.71	$947.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $303.86 / $631.68	Professional		$66.98	$303.86	$631.68
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 $402.80 / $624.50 / $1,024.68	Professional		$402.80	$624.50	$1,024.68