Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.99 / $2,849.00 / $10,268.00	Facility		$427.99	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.17 / $423.46 / $818.70	Professional		$302.17	$423.46	$818.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,405.00 / $14,996.00	Facility		$1,712.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.08 / $394.75 / $668.01	Professional		$271.08	$394.75	$668.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $295.27 / $378.96 / $503.31	Facility		$295.27	$378.96	$503.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $468.94 / $596.83 / $127,498.73	Professional		$468.94	$596.83	$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 $363.17 / $532.88 / $803.86	Professional		$363.17	$532.88	$803.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $565.65 / $565.65 / $565.65	Facility		$565.65	$565.65	$565.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $369.49 / $532.88 / $804.62	Professional		$369.49	$532.88	$804.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $334.93 / $583.98	Professional		$34.85	$334.93	$583.98
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 $379.59 / $562.14 / $925.66	Professional		$379.59	$562.14	$925.66