Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $897.35 / $4,723.00 / $10,635.00	Facility		$897.35	$4,723.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $514.38 / $603.46 / $1,491.67	Professional		$514.38	$603.46	$1,491.67
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 $578.01 / $758.08 / $1,247.93	Professional		$578.01	$758.08	$1,247.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $553.20 / $709.99 / $942.96	Facility		$553.20	$709.99	$942.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $650.83 / $828.32 / $127,498.73	Professional		$650.83	$828.32	$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 $602.37 / $828.33 / $1,210.00	Professional		$602.37	$828.33	$1,210.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $709.38 / $709.38 / $709.38	Facility		$709.38	$709.38	$709.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $591.66 / $851.39 / $1,249.86	Professional		$591.66	$851.39	$1,249.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $422.18 / $730.19	Professional		$72.32	$422.18	$730.19
United Facility/Professional Facility Modifier Low / Median / High Price $3,793.00 / $6,557.00 / $10,989.00	Facility		$3,793.00	$6,557.00	$10,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $494.77 / $770.44 / $1,246.26	Professional		$494.77	$770.44	$1,246.26