Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.29 / $3,785.00 / $10,268.00	Facility		$517.29	$3,785.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.25 / $501.12 / $887.16	Professional		$330.25	$501.12	$887.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.30 / $285.42 / $508.66	Professional		$194.30	$285.42	$508.66
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $418.67 / $418.67 / $418.67	Professional		$418.67	$418.67	$418.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $326.22 / $418.67 / $518.19	Facility		$326.22	$418.67	$518.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $555.26 / $706.69 / $127,498.73	Professional		$555.26	$706.69	$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 $385.12 / $578.62 / $901.92	Professional		$385.12	$578.62	$901.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $627.27 / $627.27 / $627.27	Facility		$627.27	$627.27	$627.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $405.76 / $588.77 / $919.71	Professional		$405.76	$588.77	$919.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $366.22 / $652.71	Professional		$71.09	$366.22	$652.71
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 $427.12 / $648.52 / $1,077.63	Professional		$427.12	$648.52	$1,077.63