Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.12 / $2,113.00 / $10,268.00	Facility		$427.12	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.69 / $417.01 / $762.85	Professional		$349.69	$417.01	$762.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,412.00 / $8,800.00	Facility		$1,145.00	$2,412.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.08 / $394.88 / $633.95	Professional		$268.08	$394.88	$633.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $357.64 / $459.01 / $609.63	Facility		$357.64	$459.01	$609.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $459.99 / $585.44 / $127,498.73	Professional		$459.99	$585.44	$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 $394.69 / $545.27 / $788.76	Professional		$394.69	$545.27	$788.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $683.27 / $683.27 / $683.27	Facility		$683.27	$683.27	$683.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $401.63 / $554.64 / $788.22	Professional		$401.63	$554.64	$788.22
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 $335.48 / $512.65 / $861.49	Professional		$335.48	$512.65	$861.49