Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.36 / $2,547.00 / $10,635.00	Facility		$656.36	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.95 / $441.40 / $862.98	Professional		$375.95	$441.40	$862.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,981.00 / $3,943.00	Facility		$937.00	$1,981.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.69 / $424.12 / $714.96	Professional		$309.69	$424.12	$714.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $405.14 / $519.97 / $690.59	Facility		$405.14	$519.97	$690.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $476.64 / $606.63 / $127,498.73	Professional		$476.64	$606.63	$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 $414.15 / $581.10 / $814.26	Professional		$414.15	$581.10	$814.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $523.76 / $523.76 / $523.76	Facility		$523.76	$523.76	$523.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $422.12 / $596.74 / $823.28	Professional		$422.12	$596.74	$823.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $325.36 / $545.51	Professional		$34.85	$325.36	$545.51
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $314.56 / $487.83 / $824.99	Professional		$314.56	$487.83	$824.99