Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.83 / $2,849.00 / $10,268.00	Facility		$367.83	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.23 / $365.89 / $772.27	Professional		$246.23	$365.89	$772.27
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 $157.85 / $230.65 / $396.76	Professional		$157.85	$230.65	$396.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $226.68 / $290.92 / $386.37	Facility		$226.68	$290.92	$386.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $390.17 / $496.58 / $127,498.73	Professional		$390.17	$496.58	$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 $285.08 / $430.70 / $669.16	Professional		$285.08	$430.70	$669.16
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $436.98 / $436.98 / $436.98	Facility		$436.98	$436.98	$436.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $288.49 / $432.73 / $673.92	Professional		$288.49	$432.73	$673.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.58 / $258.28 / $433.89	Professional		$34.58	$258.28	$433.89
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 $347.21 / $516.50 / $874.61	Professional		$347.21	$516.50	$874.61