Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.25 / $4,723.00 / $11,627.00	Facility		$720.25	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.41 / $727.25 / $1,304.34	Professional		$622.41	$727.25	$1,304.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,315.00 / $29,300.94 / $53,822.78	Facility		$3,315.00	$29,300.94	$53,822.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.10 / $791.18 / $1,300.70	Professional		$587.10	$791.18	$1,300.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $680.98 / $873.98 / $1,160.76	Facility		$680.98	$873.98	$1,160.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $801.15 / $1,019.65 / $127,498.73	Professional		$801.15	$1,019.65	$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 $744.17 / $1,019.64 / $1,383.80	Professional		$744.17	$1,019.64	$1,383.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $871.93 / $871.93 / $871.93	Facility		$871.93	$871.93	$871.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $744.17 / $1,019.64 / $1,401.90	Professional		$744.17	$1,019.64	$1,401.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $535.89 / $908.12	Professional		$72.37	$535.89	$908.12
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 $591.35 / $893.93 / $1,495.93	Professional		$591.35	$893.93	$1,495.93