Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $690.74 / $3,325.00 / $10,635.00	Facility		$690.74	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.28 / $470.44 / $896.80	Professional		$407.28	$470.44	$896.80
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 $311.74 / $440.11 / $747.84	Professional		$311.74	$440.11	$747.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $462.25 / $593.27 / $787.94	Facility		$462.25	$593.27	$787.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $543.83 / $692.15 / $127,498.73	Professional		$543.83	$692.15	$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 $462.26 / $643.44 / $938.32	Professional		$462.26	$643.44	$938.32
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $592.57 / $592.57 / $592.57	Facility		$592.57	$592.57	$592.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $486.73 / $652.60 / $939.35	Professional		$486.73	$652.60	$939.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.21 / $448.32 / $682.56	Professional		$67.21	$448.32	$682.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $2,869.00 / $5,457.00	Facility		$1,771.00	$2,869.00	$5,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $379.64 / $603.23 / $1,030.10	Professional		$379.64	$603.23	$1,030.10