Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,006.61 / $3,602.00 / $10,635.00	Facility		$1,006.61	$3,602.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $683.43 / $756.20 / $1,514.49	Professional		$683.43	$756.20	$1,514.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,142.00 / $19,117.00	Facility		$2,003.00	$4,142.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $633.60 / $829.73 / $1,349.21	Professional		$633.60	$829.73	$1,349.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $684.83 / $878.92 / $1,167.32	Facility		$684.83	$878.92	$1,167.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $805.67 / $1,025.40 / $127,498.73	Professional		$805.67	$1,025.40	$127,498.73
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $769.05 / $1,054.36 / $1,527.10	Professional		$769.05	$1,054.36	$1,527.10
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $878.62 / $878.62 / $878.62	Facility		$878.62	$878.62	$878.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $769.05 / $1,062.03 / $1,527.10	Professional		$769.05	$1,062.03	$1,527.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $560.92 / $915.93	Professional		$72.37	$560.92	$915.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,231.00 / $10,075.00	Facility		$3,206.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $636.91 / $987.59 / $1,585.23	Professional		$636.91	$987.59	$1,585.23