Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.49 / $2,816.00 / $9,534.00	Facility		$362.49	$2,816.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.30 / $349.81 / $616.23	Professional		$288.30	$349.81	$616.23
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 $153.08 / $231.06 / $445.59	Professional		$153.08	$231.06	$445.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $296.52 / $380.57 / $505.44	Facility		$296.52	$380.57	$505.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $391.31 / $498.04 / $127,498.73	Professional		$391.31	$498.04	$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 $323.47 / $444.68 / $646.23	Professional		$323.47	$444.68	$646.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $566.13 / $566.13 / $566.13	Facility		$566.13	$566.13	$566.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $333.00 / $450.70 / $646.41	Professional		$333.00	$450.70	$646.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $248.71 / $471.32	Professional		$34.85	$248.71	$471.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,600.00 / $5,235.00	Facility		$1,689.00	$2,600.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $275.06 / $425.00 / $716.24	Professional		$275.06	$425.00	$716.24