Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.71 / $4,085.00 / $10,817.74	Facility		$788.71	$4,085.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.88 / $437.90 / $866.51	Professional		$383.88	$437.90	$866.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,528.00 / $14,996.00	Facility		$1,712.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.67 / $486.69 / $800.29	Professional		$370.67	$486.69	$800.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $399.69 / $512.96 / $681.29	Facility		$399.69	$512.96	$681.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $470.22 / $598.46 / $127,498.73	Professional		$470.22	$598.46	$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 $444.99 / $613.21 / $892.69	Professional		$444.99	$613.21	$892.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $513.73 / $513.73 / $513.73	Facility		$513.73	$513.73	$513.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $448.84 / $619.83 / $879.12	Professional		$448.84	$619.83	$879.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $385.54 / $583.87	Professional		$67.08	$385.54	$583.87
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 $356.88 / $563.79 / $903.80	Professional		$356.88	$563.79	$903.80