Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $611.90 / $3,325.00 / $10,635.00	Facility		$611.90	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.75 / $424.21 / $804.70	Professional		$381.75	$424.21	$804.70
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 $281.07 / $397.46 / $674.28	Professional		$281.07	$397.46	$674.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $409.65 / $525.76 / $698.27	Facility		$409.65	$525.76	$698.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $481.94 / $613.38 / $127,498.73	Professional		$481.94	$613.38	$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 $407.81 / $584.52 / $840.89	Professional		$407.81	$584.52	$840.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $525.24 / $525.24 / $525.24	Facility		$525.24	$525.24	$525.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $430.83 / $591.48 / $840.89	Professional		$430.83	$591.48	$840.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $396.33 / $597.28	Professional		$67.08	$396.33	$597.28
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 $342.00 / $526.07 / $903.05	Professional		$342.00	$526.07	$903.05