Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.94 / $2,849.00 / $10,268.00	Facility		$407.94	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.20 / $407.93 / $733.42	Professional		$267.20	$407.93	$733.42
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 $169.05 / $245.92 / $424.23	Professional		$169.05	$245.92	$424.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $253.86 / $325.80 / $432.71	Facility		$253.86	$325.80	$432.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $435.12 / $553.78 / $127,498.73	Professional		$435.12	$553.78	$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 $312.23 / $462.81 / $715.96	Professional		$312.23	$462.81	$715.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $488.52 / $488.52 / $488.52	Facility		$488.52	$488.52	$488.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $319.52 / $474.67 / $720.48	Professional		$319.52	$474.67	$720.48
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 $2,233.00 / $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 $349.87 / $518.05 / $876.76	Professional		$349.87	$518.05	$876.76