Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,155.24 / $6,582.00 / $11,581.00	Facility		$1,155.24	$6,582.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $672.63 / $786.21 / $1,552.73	Professional		$672.63	$786.21	$1,552.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,238.00 / $36,529.00	Facility		$2,097.00	$8,238.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $571.36 / $806.62 / $1,259.86	Professional		$571.36	$806.62	$1,259.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $711.88 / $913.64 / $1,213.44	Facility		$711.88	$913.64	$1,213.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $837.51 / $1,065.92 / $127,498.73	Professional		$837.51	$1,065.92	$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 $787.06 / $1,065.92 / $1,481.46	Professional		$787.06	$1,065.92	$1,481.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $909.50 / $909.50 / $909.50	Facility		$909.50	$909.50	$909.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $799.44 / $1,075.30 / $1,460.55	Professional		$799.44	$1,075.30	$1,460.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $589.74 / $966.00	Professional		$72.37	$589.74	$966.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,231.00 / $10,075.00	Facility		$3,206.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $640.64 / $957.59 / $1,530.43	Professional		$640.64	$957.59	$1,530.43