Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.04 / $2,547.00 / $10,635.00	Facility		$655.04	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.04 / $440.52 / $862.43	Professional		$387.04	$440.52	$862.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $993.00 / $2,412.00 / $8,800.00	Facility		$993.00	$2,412.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.17 / $448.52 / $713.66	Professional		$323.17	$448.52	$713.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $403.68 / $518.09 / $688.08	Facility		$403.68	$518.09	$688.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $474.91 / $604.44 / $127,498.73	Professional		$474.91	$604.44	$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 $431.74 / $582.85 / $828.18	Professional		$431.74	$582.85	$828.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $521.15 / $521.15 / $521.15	Facility		$521.15	$521.15	$521.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $442.06 / $604.44 / $828.18	Professional		$442.06	$604.44	$828.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $325.70 / $544.72	Professional		$71.16	$325.70	$544.72
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 $344.74 / $522.84 / $896.94	Professional		$344.74	$522.84	$896.94