Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.79 / $2,849.00 / $9,534.00	Facility		$494.79	$2,849.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.63 / $494.79 / $895.57	Professional		$335.63	$494.79	$895.57
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 $203.84 / $295.08 / $506.30	Professional		$203.84	$295.08	$506.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $308.18 / $395.52 / $525.29	Facility		$308.18	$395.52	$525.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $521.71 / $663.99 / $127,498.73	Professional		$521.71	$663.99	$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 $379.04 / $564.40 / $901.14	Professional		$379.04	$564.40	$901.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $591.71 / $591.71 / $591.71	Facility		$591.71	$591.71	$591.71
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $59.17 / $59.17 / $59.17	Facility	AS	$59.17	$59.17	$59.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $392.22 / $567.09 / $904.04	Professional		$392.22	$567.09	$904.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $329.93 / $609.55	Professional		$34.77	$329.93	$609.55
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 $425.09 / $644.86 / $1,054.59	Professional		$425.09	$644.86	$1,054.59