Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.88 / $2,849.00 / $10,268.00	Facility		$392.88	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.56 / $389.90 / $726.51	Professional		$267.56	$389.90	$726.51
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 $168.73 / $243.37 / $414.90	Professional		$168.73	$243.37	$414.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $247.85 / $318.10 / $422.48	Facility		$247.85	$318.10	$422.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $418.33 / $532.41 / $127,498.73	Professional		$418.33	$532.41	$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 $304.85 / $461.26 / $705.56	Professional		$304.85	$461.26	$705.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $477.61 / $477.61 / $477.61	Facility		$477.61	$477.61	$477.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $315.45 / $462.34 / $704.55	Professional		$315.45	$462.34	$704.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $256.04 / $448.71	Professional		$34.31	$256.04	$448.71
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 $329.92 / $517.89 / $824.62	Professional		$329.92	$517.89	$824.62