Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $559.66 / $5,135.00 / $10,817.74	Facility		$559.66	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.74 / $383.20 / $678.67	Professional		$348.74	$383.20	$678.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $6,932.00 / $30,285.00	Facility		$2,777.00	$6,932.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.97 / $347.57 / $592.55	Professional		$240.97	$347.57	$592.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $344.43 / $442.06 / $547.14	Facility		$344.43	$442.06	$547.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $405.22 / $515.73 / $127,498.73	Professional		$405.22	$515.73	$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 $384.35 / $553.26 / $782.94	Professional		$384.35	$553.26	$782.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $443.04 / $443.04 / $443.04	Facility		$443.04	$443.04	$443.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $386.80 / $560.26 / $797.81	Professional		$386.80	$560.26	$797.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $287.07 / $502.76	Professional		$52.54	$287.07	$502.76
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,440.00 / $13,382.00	Facility		$4,070.00	$8,440.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $333.07 / $505.75 / $799.61	Professional		$333.07	$505.75	$799.61