Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.25 / $4,723.00 / $10,817.74	Facility		$975.25	$4,723.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.21 / $655.85 / $1,304.83	Professional		$563.21	$655.85	$1,304.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $4,421.00 / $14,996.00	Facility		$1,760.00	$4,421.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $530.87 / $768.19 / $1,227.39	Professional		$530.87	$768.19	$1,227.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $600.78 / $771.05 / $1,024.05	Facility		$600.78	$771.05	$1,024.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $706.79 / $899.56 / $127,498.73	Professional		$706.79	$899.56	$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 $654.47 / $895.69 / $1,307.68	Professional		$654.47	$895.69	$1,307.68
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $769.64 / $769.64 / $769.64	Facility		$769.64	$769.64	$769.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $674.66 / $899.55 / $1,307.68	Professional		$674.66	$899.55	$1,307.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $463.36 / $812.14	Professional		$72.37	$463.36	$812.14
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 $524.90 / $802.79 / $1,306.27	Professional		$524.90	$802.79	$1,306.27