Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.34 / $3,325.00 / $10,635.00	Facility		$735.34	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.24 / $494.51 / $979.08	Professional		$423.24	$494.51	$979.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,525.00 / $3,264.00 / $14,996.00	Facility		$1,525.00	$3,264.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.81 / $581.46 / $935.20	Professional		$398.81	$581.46	$935.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $453.39 / $581.89 / $772.83	Facility		$453.39	$581.89	$772.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $533.40 / $678.87 / $127,498.73	Professional		$533.40	$678.87	$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 $503.83 / $678.88 / $938.63	Professional		$503.83	$678.88	$938.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $583.27 / $583.27 / $583.27	Facility		$583.27	$583.27	$583.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $503.83 / $678.88 / $972.61	Professional		$503.83	$678.88	$972.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $358.32 / $590.72	Professional		$71.16	$358.32	$590.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $414.64 / $614.66 / $1,022.27	Professional		$414.64	$614.66	$1,022.27