Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $835.95 / $5,201.00 / $11,627.00	Facility		$835.95	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $493.30 / $562.16 / $1,066.43	Professional		$493.30	$562.16	$1,066.43
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 $414.06 / $583.11 / $924.09	Professional		$414.06	$583.11	$924.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $515.46 / $661.55 / $878.63	Facility		$515.46	$661.55	$878.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $606.41 / $771.81 / $127,498.73	Professional		$606.41	$771.81	$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 $565.58 / $769.58 / $1,063.26	Professional		$565.58	$769.58	$1,063.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $662.14 / $662.14 / $662.14	Facility		$662.14	$662.14	$662.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $578.86 / $771.81 / $1,056.89	Professional		$578.86	$771.81	$1,056.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $401.04 / $672.20	Professional		$72.37	$401.04	$672.20
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 $453.84 / $687.32 / $1,149.72	Professional		$453.84	$687.32	$1,149.72