Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,137.18 / $6,251.00 / $11,581.00	Facility		$1,137.18	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $659.92 / $773.16 / $1,525.83	Professional		$659.92	$773.16	$1,525.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,869.00 / $14,996.00	Facility		$1,712.00	$3,869.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $601.15 / $820.39 / $1,339.37	Professional		$601.15	$820.39	$1,339.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $701.16 / $899.89 / $1,195.17	Facility		$701.16	$899.89	$1,195.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $824.90 / $1,049.86 / $127,498.73	Professional		$824.90	$1,049.86	$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 $777.26 / $1,049.88 / $1,483.68	Professional		$777.26	$1,049.88	$1,483.68
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $896.11 / $896.11 / $896.11	Facility		$896.11	$896.11	$896.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $787.41 / $1,071.43 / $1,483.68	Professional		$787.41	$1,071.43	$1,483.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $569.20 / $953.57	Professional		$72.37	$569.20	$953.57
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,392.00 / $10,023.00	Facility		$3,206.00	$6,392.00	$10,023.00
United Facility/Professional Professional Modifier Low / Median / High Price $618.39 / $952.22 / $1,564.36	Professional		$618.39	$952.22	$1,564.36