Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.81 / $4,197.00 / $10,268.00	Facility		$882.81	$4,197.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.70 / $749.19 / $1,318.66	Professional		$634.70	$749.19	$1,318.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $581.41 / $810.50 / $1,293.55	Professional		$581.41	$810.50	$1,293.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $664.10 / $724.48 / $1,054.94	Facility		$664.10	$724.48	$1,054.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $682.38 / $781.30 / $994.38	Professional		$682.38	$781.30	$994.38
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 $729.36 / $994.38 / $1,393.69	Professional		$729.36	$994.38	$1,393.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $849.99 / $849.99 / $849.99	Facility		$849.99	$849.99	$849.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $745.79 / $994.38 / $1,393.69	Professional		$745.79	$994.38	$1,393.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $495.24 / $879.97	Professional		$72.37	$495.24	$879.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,397.21 / $3,724.00 / $6,238.00	Facility		$2,397.21	$3,724.00	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $604.41 / $900.77 / $1,461.24	Professional		$604.41	$900.77	$1,461.24