Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.07 / $3,325.00 / $10,635.00	Facility		$574.07	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.67 / $418.34 / $830.31	Professional		$372.67	$418.34	$830.31
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 $351.67 / $473.99 / $759.25	Professional		$351.67	$473.99	$759.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $382.57 / $490.99 / $607.70	Facility		$382.57	$490.99	$607.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $450.08 / $572.82 / $127,498.73	Professional		$450.08	$572.82	$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 $416.87 / $593.29 / $818.03	Professional		$416.87	$593.29	$818.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $489.28 / $489.28 / $489.28	Facility		$489.28	$489.28	$489.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $429.62 / $596.89 / $818.03	Professional		$429.62	$596.89	$818.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $374.50 / $572.76	Professional		$67.08	$374.50	$572.76
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 $345.98 / $539.17 / $802.46	Professional		$345.98	$539.17	$802.46