Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.47 / $3,325.00 / $10,635.00	Facility		$758.47	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.76 / $511.23 / $1,011.00	Professional		$436.76	$511.23	$1,011.00
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 $376.27 / $525.61 / $826.68	Professional		$376.27	$525.61	$826.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $467.60 / $600.13 / $797.06	Facility		$467.60	$600.13	$797.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $550.12 / $700.15 / $127,498.73	Professional		$550.12	$700.15	$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 $509.66 / $695.90 / $958.93	Professional		$509.66	$695.90	$958.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $601.13 / $601.13 / $601.13	Facility		$601.13	$601.13	$601.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $519.01 / $700.16 / $958.93	Professional		$519.01	$700.16	$958.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $366.60 / $603.86	Professional		$71.16	$366.60	$603.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,600.00 / $5,235.00	Facility		$1,689.00	$2,600.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $410.42 / $644.09 / $1,063.56	Professional		$410.42	$644.09	$1,063.56