Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.57 / $2,849.00 / $10,268.00	Facility		$442.57	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.83 / $398.90 / $688.02	Professional		$329.83	$398.90	$688.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,051.00 / $2,150.00 / $3,943.00	Facility		$1,051.00	$2,150.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.75 / $286.10 / $545.91	Professional		$197.75	$286.10	$545.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $366.84 / $470.81 / $625.29	Facility		$366.84	$470.81	$625.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $477.93 / $608.27 / $127,498.73	Professional		$477.93	$608.27	$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 $384.84 / $541.74 / $750.26	Professional		$384.84	$541.74	$750.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $700.75 / $700.75 / $700.75	Facility		$700.75	$700.75	$700.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $390.01 / $549.28 / $760.80	Professional		$390.01	$549.28	$760.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $333.57 / $560.15	Professional		$34.85	$333.57	$560.15
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $303.17 / $470.78 / $773.61	Professional		$303.17	$470.78	$773.61