Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.47 / $2,113.00 / $10,268.00	Facility		$383.47	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.87 / $380.10 / $682.35	Professional		$315.87	$380.10	$682.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,981.00 / $3,943.00	Facility		$937.00	$1,981.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.37 / $351.30 / $576.97	Professional		$251.37	$351.30	$576.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $326.36 / $418.86 / $518.42	Facility		$326.36	$418.86	$518.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $414.11 / $527.04 / $127,498.73	Professional		$414.11	$527.04	$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 $366.51 / $488.68 / $709.52	Professional		$366.51	$488.68	$709.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $623.15 / $623.15 / $623.15	Facility		$623.15	$623.15	$623.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $370.42 / $506.13 / $708.57	Professional		$370.42	$506.13	$708.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $294.77 / $502.58	Professional		$34.85	$294.77	$502.58
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $292.87 / $459.41 / $769.58	Professional		$292.87	$459.41	$769.58