Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.88 / $8,956.00 / $11,627.00	Facility		$175.88	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.21 / $175.88 / $215.24	Professional		$131.21	$175.88	$215.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,528.00 / $14,996.00	Facility		$1,712.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $424.49 / $550.98 / $872.45	Professional		$424.49	$550.98	$872.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $111.45 / $1,550.20 / $12,693.56	Facility		$111.45	$1,550.20	$12,693.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $116.26 / $1,743.97 / $3,077.60	Professional		$116.26	$1,743.97	$3,077.60
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
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $205.15 / $205.15 / $205.15	Facility		$205.15	$205.15	$205.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $288.14 / $288.14 / $1,027.43	Professional		$288.14	$288.14	$1,027.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.65 / $329.83 / $551.42	Professional		$217.65	$329.83	$551.42