Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.88 / $2,113.00 / $10,268.00	Facility		$301.88	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.64 / $294.20 / $532.44	Professional		$237.64	$294.20	$532.44
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 $103.15 / $158.72 / $353.88	Professional		$103.15	$158.72	$353.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $244.53 / $313.83 / $416.82	Facility		$244.53	$313.83	$416.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $326.58 / $415.65 / $127,498.73	Professional		$326.58	$415.65	$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 $262.12 / $370.99 / $544.17	Professional		$262.12	$370.99	$544.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $466.46 / $466.46 / $466.46	Facility		$466.46	$466.46	$466.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $274.60 / $379.21 / $537.51	Professional		$274.60	$379.21	$537.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $159.02 / $420.90	Professional		$32.53	$159.02	$420.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.36 / $3,724.00 / $6,238.00	Facility		$2,398.36	$3,724.00	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $203.39 / $328.56 / $536.33	Professional		$203.39	$328.56	$536.33