Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $903.08 / $6,582.00 / $11,627.00	Facility		$903.08	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.73 / $4,556.97 / $9,200.00	Professional		$488.73	$4,556.97	$9,200.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $7,086.00 / $30,285.00	Facility		$2,777.00	$7,086.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $428.64 / $590.01 / $899.15	Professional		$428.64	$590.01	$899.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $449.28 / $490.13 / $713.70	Facility		$449.28	$490.13	$713.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5,251.68 / $5,251.68 / $7,729.49	Professional		$5,251.68	$5,251.68	$7,729.49
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 $562.21 / $1,083.27 / $10,121.52	Professional		$562.21	$1,083.27	$10,121.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $862.72 / $862.72 / $862.72	Facility		$862.72	$862.72	$862.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $571.82 / $1,105.19 / $10,098.71	Professional		$571.82	$1,105.19	$10,098.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $521.79 / $4,561.60 / $6,970.96	Professional		$521.79	$4,561.60	$6,970.96
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,440.00 / $13,382.00	Facility		$4,070.00	$8,440.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,444.09 / $8,294.95 / $12,509.36	Professional		$5,444.09	$8,294.95	$12,509.36