Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $953.02 / $5,135.00 / $10,817.74	Facility		$953.02	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $550.03 / $640.90 / $1,274.91	Professional		$550.03	$640.90	$1,274.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,025.00 / $8,800.00	Facility		$1,152.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $492.09 / $664.77 / $1,096.32	Professional		$492.09	$664.77	$1,096.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $588.08 / $754.76 / $1,002.42	Facility		$588.08	$754.76	$1,002.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $691.87 / $880.56 / $127,498.73	Professional		$691.87	$880.56	$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 $650.38 / $867.98 / $1,207.42	Professional		$650.38	$867.98	$1,207.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $753.64 / $753.64 / $753.64	Facility		$753.64	$753.64	$753.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $658.57 / $880.56 / $1,204.89	Professional		$658.57	$880.56	$1,204.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $463.36 / $812.14	Professional		$72.37	$463.36	$812.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $498.13 / $760.17 / $1,192.01	Professional		$498.13	$760.17	$1,192.01