Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.59 / $3,325.00 / $10,635.00	Facility		$437.59	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.16 / $337.44 / $715.55	Professional		$283.16	$337.44	$715.55
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 $288.97 / $375.66 / $592.94	Professional		$288.97	$375.66	$592.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $296.95 / $381.12 / $506.18	Facility		$296.95	$381.12	$506.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $349.36 / $444.64 / $127,498.73	Professional		$349.36	$444.64	$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 $332.10 / $461.66 / $721.80	Professional		$332.10	$461.66	$721.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $379.42 / $379.42 / $379.42	Facility		$379.42	$379.42	$379.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $333.48 / $490.39 / $717.52	Professional		$333.48	$490.39	$717.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $266.06 / $416.14	Professional		$52.54	$266.06	$416.14
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 $285.12 / $453.54 / $743.41	Professional		$285.12	$453.54	$743.41