Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.87 / $2,113.00 / $10,268.00	Facility		$473.87	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.44 / $465.47 / $846.15	Professional		$403.44	$465.47	$846.15
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 $332.31 / $459.66 / $728.45	Professional		$332.31	$459.66	$728.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $405.09 / $519.90 / $690.50	Facility		$405.09	$519.90	$690.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $510.61 / $649.87 / $127,498.73	Professional		$510.61	$649.87	$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 $454.40 / $620.08 / $889.64	Professional		$454.40	$620.08	$889.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $773.83 / $773.83 / $773.83	Facility		$773.83	$773.83	$773.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $454.91 / $628.21 / $881.96	Professional		$454.91	$628.21	$881.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $356.41 / $589.86	Professional		$71.16	$356.41	$589.86
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 $381.27 / $568.04 / $951.57	Professional		$381.27	$568.04	$951.57