Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,185.38 / $6,251.00 / $11,581.00	Facility		$1,185.38	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $679.20 / $797.16 / $1,597.88	Professional		$679.20	$797.16	$1,597.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $5,836.00 / $30,285.00	Facility		$2,777.00	$5,836.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $655.16 / $913.60 / $1,538.11	Professional		$655.16	$913.60	$1,538.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $722.90 / $927.78 / $1,232.21	Facility		$722.90	$927.78	$1,232.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $850.47 / $1,082.41 / $127,498.73	Professional		$850.47	$1,082.41	$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 $795.53 / $1,082.41 / $1,525.84	Professional		$795.53	$1,082.41	$1,525.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $940.62 / $940.62 / $940.62	Facility		$940.62	$940.62	$940.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $795.53 / $1,091.09 / $1,572.30	Professional		$795.53	$1,091.09	$1,572.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.36 / $565.58 / $973.98	Professional		$107.36	$565.58	$973.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $640.82 / $969.73 / $1,584.70	Professional		$640.82	$969.73	$1,584.70