Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $589.57 / $5,135.00 / $10,817.74	Facility		$589.57	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.08 / $396.48 / $781.11	Professional		$338.08	$396.48	$781.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.80 / $444.75 / $701.56	Professional		$287.80	$444.75	$701.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $364.08 / $467.27 / $620.60	Facility		$364.08	$467.27	$620.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $428.33 / $545.15 / $127,498.73	Professional		$428.33	$545.15	$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 $401.43 / $544.07 / $745.38	Professional		$401.43	$544.07	$745.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $469.44 / $469.44 / $469.44	Facility		$469.44	$469.44	$469.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $401.43 / $545.15 / $745.38	Professional		$401.43	$545.15	$745.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $295.12 / $503.86	Professional		$34.85	$295.12	$503.86
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 $321.80 / $481.72 / $776.37	Professional		$321.80	$481.72	$776.37