Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.74 / $1,362.54 / $2,439.90	Facility		$633.74	$1,362.54	$2,439.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $633.74 / $633.74 / $657.50	Professional		$633.74	$633.74	$657.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.36 / $201.36 / $487.72	Professional		$201.36	$201.36	$487.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $673.34 / $1,029.82 / $21,108.56	Facility		$673.34	$1,029.82	$21,108.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $828.10 / $1,731.98 / $21,920.43	Professional		$828.10	$1,731.98	$21,920.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.04 / $514.91 / $4,586.92	Facility		$390.04	$514.91	$4,586.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $910.25 / $910.25 / $1,137.82	Professional		$910.25	$910.25	$1,137.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $390.04 / $514.91 / $4,586.92	Facility		$390.04	$514.91	$4,586.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $60.00	Professional		$30.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $332.71 / $475.30 / $950.60	Professional		$332.71	$475.30	$950.60