Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $552.44 / $2,849.00 / $10,268.00	Facility		$552.44	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.97 / $473.61 / $859.01	Professional		$300.97	$473.61	$859.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,894.00 / $8,800.00	Facility		$1,152.00	$2,894.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.87 / $240.83 / $480.48	Professional		$160.87	$240.83	$480.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $314.83 / $404.08 / $500.13	Facility		$314.83	$404.08	$500.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $587.91 / $748.24 / $127,498.73	Professional		$587.91	$748.24	$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 $370.41 / $566.36 / $956.01	Professional		$370.41	$566.36	$956.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $600.58 / $600.58 / $600.58	Facility		$600.58	$600.58	$600.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $382.46 / $572.99 / $962.03	Professional		$382.46	$572.99	$962.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $378.76 / $700.38	Professional		$34.85	$378.76	$700.38
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 $422.90 / $664.55 / $1,119.13	Professional		$422.90	$664.55	$1,119.13