Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.38 / $3,325.00 / $10,635.00	Facility		$600.38	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.37 / $455.53 / $847.49	Professional		$389.37	$455.53	$847.49
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 $356.12 / $490.38 / $771.33	Professional		$356.12	$490.38	$771.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $402.33 / $516.35 / $685.77	Facility		$402.33	$516.35	$685.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $473.32 / $602.41 / $127,498.73	Professional		$473.32	$602.41	$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 $430.29 / $602.40 / $844.66	Professional		$430.29	$602.40	$844.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $517.42 / $517.42 / $517.42	Facility		$517.42	$517.42	$517.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $451.80 / $623.91 / $826.02	Professional		$451.80	$623.91	$826.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $383.40 / $585.94	Professional		$67.08	$383.40	$585.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $375.15 / $570.51 / $865.81	Professional		$375.15	$570.51	$865.81