Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $582.64 / $2,602.00 / $10,635.00	Facility		$582.64	$2,602.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.49 / $391.82 / $780.13	Professional		$345.49	$391.82	$780.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,742.00 / $8,800.00	Facility		$1,152.00	$2,742.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.20 / $410.51 / $673.03	Professional		$302.20	$410.51	$673.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $355.40 / $456.13 / $605.80	Facility		$355.40	$456.13	$605.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $418.12 / $532.15 / $127,498.73	Professional		$418.12	$532.15	$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 $381.49 / $532.16 / $770.93	Professional		$381.49	$532.16	$770.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $460.80 / $460.80 / $460.80	Facility		$460.80	$460.80	$460.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $399.12 / $540.82 / $770.93	Professional		$399.12	$540.82	$770.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $268.81 / $500.03	Professional		$34.85	$268.81	$500.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $327.71 / $486.12 / $799.07	Professional		$327.71	$486.12	$799.07