Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.28 / $3,325.00 / $10,635.00	Facility		$682.28	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.77 / $477.30 / $899.54	Professional		$416.77	$477.30	$899.54
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 $338.86 / $488.75 / $771.34	Professional		$338.86	$488.75	$771.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $455.77 / $584.95 / $776.90	Facility		$455.77	$584.95	$776.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $536.21 / $682.44 / $127,498.73	Professional		$536.21	$682.44	$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 $480.80 / $658.07 / $937.61	Professional		$480.80	$658.07	$937.61
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $582.90 / $582.90 / $582.90	Facility		$582.90	$582.90	$582.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $496.88 / $665.23 / $937.61	Professional		$496.88	$665.23	$937.61
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 $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 $383.47 / $599.11 / $918.74	Professional		$383.47	$599.11	$918.74