Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.26 / $2,785.00 / $9,534.00	Facility		$426.26	$2,785.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.94 / $420.79 / $783.66	Professional		$278.94	$420.79	$783.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.62 / $248.69 / $434.46	Professional		$170.62	$248.69	$434.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $270.81 / $347.57 / $461.61	Facility		$270.81	$347.57	$461.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $451.19 / $574.24 / $127,498.73	Professional		$451.19	$574.24	$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 $333.09 / $492.20 / $773.01	Professional		$333.09	$492.20	$773.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $521.14 / $521.14 / $521.14	Facility		$521.14	$521.14	$521.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $344.67 / $500.40 / $765.07	Professional		$344.67	$500.40	$765.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $295.97 / $515.41	Professional		$34.77	$295.97	$515.41
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 $352.15 / $537.04 / $896.69	Professional		$352.15	$537.04	$896.69