Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $659.53 / $3,325.00 / $11,581.00	Facility		$659.53	$3,325.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.66 / $443.53 / $876.94	Professional		$373.66	$443.53	$876.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,405.00 / $14,996.00	Facility		$1,760.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.27 / $493.96 / $812.65	Professional		$340.27	$493.96	$812.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $406.53 / $521.75 / $692.94	Facility		$406.53	$521.75	$692.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $478.27 / $608.71 / $127,498.73	Professional		$478.27	$608.71	$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 $447.32 / $587.00 / $833.85	Professional		$447.32	$587.00	$833.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $523.39 / $523.39 / $523.39	Facility		$523.39	$523.39	$523.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $450.27 / $587.00 / $846.18	Professional		$450.27	$587.00	$846.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $325.70 / $523.69	Professional		$71.16	$325.70	$523.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $355.78 / $540.32 / $905.13	Professional		$355.78	$540.32	$905.13