Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.19 / $2,849.00 / $10,268.00	Facility		$448.19	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.53 / $448.19 / $1,026.01	Professional		$374.53	$448.19	$1,026.01
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 $292.75 / $423.56 / $784.69	Professional		$292.75	$423.56	$784.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $467.19 / $572.76 / $1,525.80	Facility		$467.19	$572.76	$1,525.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $412.15 / $515.90 / $127,498.73	Professional		$412.15	$515.90	$127,498.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $646.05 / $1,124.08 / $21,571.00	Facility		$646.05	$1,124.08	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.91 / $521.10 / $893.60	Professional		$356.91	$521.10	$893.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,124.08 / $1,124.08 / $1,253.49	Facility		$1,124.08	$1,124.08	$1,253.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $356.91 / $527.48 / $826.57	Professional		$356.91	$527.48	$826.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.83 / $224.69 / $536.58	Professional		$69.83	$224.69	$536.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,368.00 / $2,499.00 / $5,235.00	Facility		$1,368.00	$2,499.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $383.72 / $469.30 / $961.10	Professional		$383.72	$469.30	$961.10