Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.00 / $2,547.00 / $10,635.00	Facility		$951.00	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $558.57 / $646.89 / $1,292.17	Professional		$558.57	$646.89	$1,292.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,485.00 / $3,092.00 / $14,996.00	Facility		$1,485.00	$3,092.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $535.28 / $705.32 / $1,169.08	Professional		$535.28	$705.32	$1,169.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $584.72 / $637.87 / $928.84	Facility		$584.72	$637.87	$928.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $515.83 / $687.91 / $875.52	Professional		$515.83	$687.91	$875.52
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 $634.36 / $875.51 / $1,224.82	Professional		$634.36	$875.51	$1,224.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $767.64 / $767.64 / $767.64	Facility		$767.64	$767.64	$767.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $634.36 / $875.51 / $1,266.23	Professional		$634.36	$875.51	$1,266.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $466.10 / $793.74	Professional		$72.32	$466.10	$793.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,600.00 / $5,235.00	Facility		$1,689.00	$2,600.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $513.82 / $767.59 / $1,263.65	Professional		$513.82	$767.59	$1,263.65