Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.64 / $5,135.00 / $10,817.74	Facility		$993.64	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $576.17 / $675.96 / $1,332.81	Professional		$576.17	$675.96	$1,332.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,622.00 / $3,287.00 / $14,996.00	Facility		$1,622.00	$3,287.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $665.21 / $896.05 / $1,480.25	Professional		$665.21	$896.05	$1,480.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $612.91 / $786.62 / $1,044.74	Facility		$612.91	$786.62	$1,044.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $721.07 / $917.73 / $127,498.73	Professional		$721.07	$917.73	$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 $688.29 / $958.34 / $1,376.30	Professional		$688.29	$958.34	$1,376.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $784.14 / $784.14 / $784.14	Facility		$784.14	$784.14	$784.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $688.29 / $964.74 / $1,395.48	Professional		$688.29	$964.74	$1,395.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $473.48 / $820.22	Professional		$72.37	$473.48	$820.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $571.08 / $873.05 / $1,415.34	Professional		$571.08	$873.05	$1,415.34