Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,490.58 / $3,502.86 / $5,738.73	Facility		$1,490.58	$3,502.86	$5,738.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,304.26 / $1,490.58 / $1,546.47	Professional		$1,304.26	$1,490.58	$1,546.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.80 / $241.28 / $606.52	Professional		$176.80	$241.28	$606.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,863.22 / $5,449.92 / $45,499.55	Facility		$1,863.22	$5,449.92	$45,499.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,947.70 / $4,471.72 / $43,823.19	Professional		$1,947.70	$4,471.72	$43,823.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,119.41 / $2,349.51 / $12,561.55	Facility		$2,119.41	$2,349.51	$12,561.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,119.41 / $2,349.51 / $12,561.55	Facility		$2,119.41	$2,349.51	$12,561.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $782.55 / $1,117.93 / $2,714.71	Professional		$782.55	$1,117.93	$2,714.71