Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $681.40 / $2,547.00 / $10,635.00	Facility		$681.40	$2,547.00	$10,635.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $343.68 / $511.05 / $1,119.54	Facility	54	$343.68	$511.05	$1,119.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.50 / $458.24 / $1,162.23	Professional		$399.50	$458.24	$1,162.23
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 $366.35 / $495.82 / $789.72	Professional		$366.35	$495.82	$789.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $419.54 / $538.45 / $715.13	Facility		$419.54	$538.45	$715.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $493.58 / $628.19 / $127,498.73	Professional		$493.58	$628.19	$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 $464.94 / $623.47 / $861.50	Professional		$464.94	$623.47	$861.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $539.75 / $539.75 / $539.75	Facility		$539.75	$539.75	$539.75
Medical Mutual of Ohio Facility/Professional Facility Modifier 54 Low / Median / High Price $375.54 / $375.54 / $375.54	Facility	54	$375.54	$375.54	$375.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $464.94 / $628.19 / $861.50	Professional		$464.94	$628.19	$861.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $336.72 / $583.31	Professional		$71.16	$336.72	$583.31
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 $371.82 / $561.69 / $926.16	Professional		$371.82	$561.69	$926.16