Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $589.51 / $3,325.00 / $10,635.00	Facility		$589.51	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.91 / $445.14 / $867.33	Professional		$385.91	$445.14	$867.33
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 $359.83 / $471.92 / $738.30	Professional		$359.83	$471.92	$738.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $394.47 / $506.27 / $672.39	Facility		$394.47	$506.27	$672.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $464.08 / $590.65 / $127,498.73	Professional		$464.08	$590.65	$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 $431.99 / $611.74 / $889.83	Professional		$431.99	$611.74	$889.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $506.28 / $506.28 / $506.28	Facility		$506.28	$506.28	$506.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $442.98 / $621.63 / $889.83	Professional		$442.98	$621.63	$889.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $396.77 / $600.32	Professional		$67.08	$396.77	$600.32
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 $358.22 / $567.51 / $889.02	Professional		$358.22	$567.51	$889.02