Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.94 / $6,251.00 / $11,581.00	Facility		$917.94	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $544.94 / $644.27 / $1,231.17	Professional		$544.94	$644.27	$1,231.17
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 $497.80 / $685.50 / $1,091.45	Professional		$497.80	$685.50	$1,091.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $570.77 / $732.54 / $972.90	Facility		$570.77	$732.54	$972.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $671.50 / $854.63 / $127,498.73	Professional		$671.50	$854.63	$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 $640.97 / $854.63 / $1,218.45	Professional		$640.97	$854.63	$1,218.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $731.70 / $731.70 / $731.70	Facility		$731.70	$731.70	$731.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $640.97 / $885.15 / $1,218.45	Professional		$640.97	$885.15	$1,218.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $433.20 / $739.01	Professional		$72.37	$433.20	$739.01
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 $515.51 / $772.24 / $1,281.91	Professional		$515.51	$772.24	$1,281.91