Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.62 / $2,292.00 / $10,268.00	Facility		$480.62	$2,292.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.06 / $480.62 / $946.72	Professional		$420.06	$480.62	$946.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,051.00 / $2,012.00 / $3,943.00	Facility		$1,051.00	$2,012.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.94 / $497.00 / $801.18	Professional		$365.94	$497.00	$801.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $441.35 / $566.45 / $752.31	Facility		$441.35	$566.45	$752.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $519.24 / $660.86 / $127,498.73	Professional		$519.24	$660.86	$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 $485.79 / $644.98 / $903.56	Professional		$485.79	$644.98	$903.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $568.02 / $568.02 / $568.02	Facility		$568.02	$568.02	$568.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $486.69 / $660.86 / $903.56	Professional		$486.69	$660.86	$903.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $358.20 / $590.72	Professional		$71.16	$358.20	$590.72
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 $372.32 / $578.32 / $961.70	Professional		$372.32	$578.32	$961.70