Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.16 / $2,040.00 / $9,534.00	Facility		$389.16	$2,040.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.05 / $369.47 / $679.21	Professional		$238.05	$369.47	$679.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,392.00 / $14,996.00	Facility		$1,712.00	$3,392.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.47 / $206.58 / $364.12	Professional		$140.47	$206.58	$364.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $235.61 / $302.39 / $374.27	Facility		$235.61	$302.39	$374.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $414.63 / $527.72 / $127,498.73	Professional		$414.63	$527.72	$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 $289.79 / $424.32 / $676.74	Professional		$289.79	$424.32	$676.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $452.86 / $452.86 / $452.86	Facility		$452.86	$452.86	$452.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $293.89 / $433.48 / $678.48	Professional		$293.89	$433.48	$678.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.41 / $158.91 / $461.13	Professional		$32.41	$158.91	$461.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,647.00 / $4,404.00 / $7,351.00	Facility		$2,647.00	$4,404.00	$7,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $320.92 / $493.73 / $832.03	Professional		$320.92	$493.73	$832.03