Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,201.00 / $2,822.35 / $5,728.77	Facility		$1,201.00	$2,822.35	$5,728.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,201.00 / $1,201.00 / $1,201.00	Professional		$1,201.00	$1,201.00	$1,201.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $802.00 / $1,606.00 / $3,117.00	Facility		$802.00	$1,606.00	$3,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.98 / $351.60 / $555.59	Professional		$242.98	$351.60	$555.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11,374.89 / $52,499.48 / $62,999.37	Facility		$11,374.89	$52,499.48	$62,999.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52,499.48 / $70,874.30 / $74,999.25	Professional		$52,499.48	$70,874.30	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $700.00 / $700.00	Facility		$700.00	$700.00	$700.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $700.00 / $700.00	Facility		$700.00	$700.00	$700.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00