Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,135.00 / $10,817.74	Facility		$1,000.00	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $662.49 / $774.78 / $1,530.61	Professional		$662.49	$774.78	$1,530.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $5,770.00 / $30,285.00	Facility		$2,777.00	$5,770.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $636.96 / $890.39 / $1,398.72	Professional		$636.96	$890.39	$1,398.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $701.20 / $899.93 / $1,195.22	Facility		$701.20	$899.93	$1,195.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $824.93 / $1,049.92 / $127,498.73	Professional		$824.93	$1,049.92	$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 $787.44 / $1,053.30 / $1,469.21	Professional		$787.44	$1,053.30	$1,469.21
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $895.74 / $895.74 / $895.74	Facility		$895.74	$895.74	$895.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $787.44 / $1,072.07 / $1,536.61	Professional		$787.44	$1,072.07	$1,536.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $589.74 / $966.00	Professional		$72.37	$589.74	$966.00
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 $622.27 / $952.42 / $1,581.01	Professional		$622.27	$952.42	$1,581.01