Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.29 / $5,135.00 / $10,817.74	Facility		$652.29	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.36 / $438.67 / $872.92	Professional		$384.36	$438.67	$872.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $334.66 / $471.71 / $762.70	Professional		$334.66	$471.71	$762.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $407.51 / $523.00 / $647.30	Facility		$407.51	$523.00	$647.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $479.41 / $610.16 / $127,498.73	Professional		$479.41	$610.16	$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 $448.32 / $610.16 / $859.03	Professional		$448.32	$610.16	$859.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $523.76 / $523.76 / $523.76	Facility		$523.76	$523.76	$523.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $451.31 / $611.36 / $885.61	Professional		$451.31	$611.36	$885.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $325.70 / $545.38	Professional		$71.16	$325.70	$545.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $360.98 / $544.82 / $899.01	Professional		$360.98	$544.82	$899.01