Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $565.30 / $5,135.00 / $10,817.74	Facility		$565.30	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.06 / $380.17 / $744.13	Professional		$330.06	$380.17	$744.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,576.00 / $14,996.00	Facility		$1,712.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.04 / $273.64 / $526.86	Professional		$180.04	$273.64	$526.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $350.60 / $449.98 / $597.63	Facility		$350.60	$449.98	$597.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $412.48 / $524.97 / $127,498.73	Professional		$412.48	$524.97	$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 $384.68 / $524.98 / $744.92	Professional		$384.68	$524.98	$744.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $451.96 / $451.96 / $451.96	Facility		$451.96	$451.96	$451.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $386.33 / $524.98 / $753.46	Professional		$386.33	$524.98	$753.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $294.77 / $503.86	Professional		$34.85	$294.77	$503.86
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 $304.58 / $467.42 / $769.57	Professional		$304.58	$467.42	$769.57