Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,093.81 / $6,251.00 / $11,581.00	Facility		$1,093.81	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $662.37 / $745.94 / $1,927.22	Professional		$662.37	$745.94	$1,927.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,426.00 / $19,117.00	Facility		$2,003.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $606.08 / $804.64 / $1,307.51	Professional		$606.08	$804.64	$1,307.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $673.61 / $864.52 / $1,148.19	Facility		$673.61	$864.52	$1,148.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $792.47 / $1,008.60 / $127,498.73	Professional		$792.47	$1,008.60	$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 $745.38 / $1,011.14 / $1,452.83	Professional		$745.38	$1,011.14	$1,452.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $863.37 / $863.37 / $863.37	Facility		$863.37	$863.37	$863.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $756.45 / $1,044.61 / $1,452.83	Professional		$756.45	$1,044.61	$1,452.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $526.65 / $895.51	Professional		$72.37	$526.65	$895.51
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 $615.40 / $939.85 / $1,575.21	Professional		$615.40	$939.85	$1,575.21