Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,048.00 / $3,037.00 / $11,581.00	Facility		$1,048.00	$3,037.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $813.78 / $2,589.30 / $14,718.20	Professional		$813.78	$2,589.30	$14,718.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,093.00 / $7,084.00 / $17,584.00	Facility		$1,093.00	$7,084.00	$17,584.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,684.80 / $1,684.80 / $14,669.07	Facility		$1,684.80	$1,684.80	$14,669.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104,998.95 / $104,998.95 / $127,498.73	Professional		$104,998.95	$104,998.95	$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
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $297.24 / $297.24 / $2,717.45	Professional		$297.24	$297.24	$2,717.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $979.00 / $3,398.00	Facility		$480.00	$979.00	$3,398.00