Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $887.32 / $2,849.00 / $10,268.00	Facility		$887.32	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.40 / $860.68 / $1,582.00	Professional		$622.40	$860.68	$1,582.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,894.00 / $8,800.00	Facility		$1,152.00	$2,894.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.30 / $536.50 / $1,018.48	Professional		$346.30	$536.50	$1,018.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $652.25 / $837.11 / $1,111.79	Facility		$652.25	$837.11	$1,111.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $933.96 / $1,188.67 / $127,498.73	Professional		$933.96	$1,188.67	$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 $683.61 / $1,003.49 / $1,536.21	Professional		$683.61	$1,003.49	$1,536.21
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,243.82 / $1,243.82 / $1,243.82	Facility		$1,243.82	$1,243.82	$1,243.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $697.34 / $1,016.87 / $1,582.38	Professional		$697.34	$1,016.87	$1,582.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.70 / $613.71 / $1,099.99	Professional		$69.70	$613.71	$1,099.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,600.00 / $5,235.00	Facility		$1,689.00	$2,600.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $591.38 / $954.72 / $1,642.43	Professional		$591.38	$954.72	$1,642.43