Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.65 / $2,070.00 / $8,913.00	Facility		$496.65	$2,070.00	$8,913.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.93 / $442.76 / $808.18	Professional		$309.93	$442.76	$808.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,525.00 / $3,528.00 / $14,996.00	Facility		$1,525.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.43 / $269.16 / $476.63	Professional		$181.43	$269.16	$476.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $297.92 / $382.36 / $507.81	Facility		$297.92	$382.36	$507.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $482.10 / $613.58 / $127,498.73	Professional		$482.10	$613.58	$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 $366.42 / $521.54 / $811.11	Professional		$366.42	$521.54	$811.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $573.17 / $573.17 / $573.17	Facility		$573.17	$573.17	$573.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $372.79 / $525.91 / $832.70	Professional		$372.79	$525.91	$832.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $298.79 / $538.78	Professional		$71.09	$298.79	$538.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $386.09 / $573.47 / $942.55	Professional		$386.09	$573.47	$942.55