Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $597.17 / $2,485.00 / $10,635.00	Facility		$597.17	$2,485.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.47 / $401.60 / $787.85	Professional		$342.47	$401.60	$787.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,622.00 / $3,092.00 / $14,996.00	Facility		$1,622.00	$3,092.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.41 / $413.85 / $684.28	Professional		$305.41	$413.85	$684.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $368.98 / $473.56 / $628.94	Facility		$368.98	$473.56	$628.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $434.09 / $552.48 / $127,498.73	Professional		$434.09	$552.48	$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 $399.20 / $541.98 / $755.01	Professional		$399.20	$541.98	$755.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $476.15 / $476.15 / $476.15	Facility		$476.15	$476.15	$476.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $403.05 / $552.48 / $755.01	Professional		$403.05	$552.48	$755.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $303.09 / $520.03	Professional		$34.85	$303.09	$520.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,940.00 / $4,067.00	Facility		$1,020.00	$1,940.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $314.79 / $484.42 / $796.43	Professional		$314.79	$484.42	$796.43