Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $963.99 / $4,590.00 / $10,635.00	Facility		$963.99	$4,590.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $578.23 / $648.61 / $1,620.95	Professional		$578.23	$648.61	$1,620.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,405.00 / $14,996.00	Facility		$1,712.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $535.50 / $749.76 / $1,257.18	Professional		$535.50	$749.76	$1,257.18
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $706.02 / $706.02 / $706.02	Professional		$706.02	$706.02	$706.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $584.19 / $749.76 / $995.78	Facility		$584.19	$749.76	$995.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $687.28 / $874.72 / $127,498.73	Professional		$687.28	$874.72	$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 $638.96 / $874.73 / $1,227.83	Professional		$638.96	$874.73	$1,227.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $656.89 / $656.89 / $768.76	Facility		$656.89	$656.89	$768.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $638.96 / $874.73 / $1,303.58	Professional		$638.96	$874.73	$1,303.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $456.21 / $781.51	Professional		$72.32	$456.21	$781.51
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 $524.72 / $811.18 / $1,262.58	Professional		$524.72	$811.18	$1,262.58