Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.29 / $2,565.00 / $9,504.00	Facility		$460.29	$2,565.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.06 / $444.94 / $814.15	Professional		$295.06	$444.94	$814.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.43 / $407.19 / $696.98	Professional		$286.43	$407.19	$696.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $271.94 / $349.02 / $431.99	Facility		$271.94	$349.02	$431.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $486.86 / $619.64 / $127,498.73	Professional		$486.86	$619.64	$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 $334.47 / $514.50 / $796.69	Professional		$334.47	$514.50	$796.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $520.24 / $520.24 / $520.24	Facility		$520.24	$520.24	$520.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $345.27 / $517.85 / $808.23	Professional		$345.27	$517.85	$808.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $353.51 / $589.44	Professional		$34.85	$353.51	$589.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,600.00 / $5,235.00	Facility		$1,689.00	$2,600.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $375.48 / $557.74 / $922.83	Professional		$375.48	$557.74	$922.83