Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $485.88 / $1,773.00 / $9,504.00	Facility		$485.88	$1,773.00	$9,504.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $326.20 / $485.07 / $1,169.33	Facility	54	$326.20	$485.07	$1,169.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.13 / $485.88 / $921.71	Professional		$397.13	$485.88	$921.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,722.00 / $8,800.00	Facility		$1,145.00	$2,722.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.17 / $482.09 / $755.87	Professional		$357.17	$482.09	$755.87
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $510.96 / $510.96 / $571.08	Professional		$510.96	$510.96	$571.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $398.12 / $510.96 / $678.62	Facility		$398.12	$510.96	$678.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $523.49 / $666.26 / $127,498.73	Professional		$523.49	$666.26	$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 $447.09 / $618.66 / $889.57	Professional		$447.09	$618.66	$889.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $761.30 / $761.30 / $761.30	Facility		$761.30	$761.30	$761.30
Medical Mutual of Ohio Facility/Professional Facility Modifier 54 Low / Median / High Price $532.91 / $532.91 / $532.91	Facility	54	$532.91	$532.91	$532.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $447.09 / $639.36 / $889.57	Professional		$447.09	$639.36	$889.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $357.49 / $615.87	Professional		$71.16	$357.49	$615.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,940.00 / $4,067.00	Facility		$1,020.00	$1,940.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $389.93 / $591.33 / $965.52	Professional		$389.93	$591.33	$965.52