Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $730.86 / $5,135.00 / $10,817.74	Facility		$730.86	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.69 / $491.50 / $967.54	Professional		$419.69	$491.50	$967.54
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 $368.86 / $501.28 / $799.13	Professional		$368.86	$501.28	$799.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $450.93 / $578.74 / $768.63	Facility		$450.93	$578.74	$768.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $530.51 / $675.19 / $127,498.73	Professional		$530.51	$675.19	$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 $482.28 / $656.34 / $916.34	Professional		$482.28	$656.34	$916.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $581.41 / $581.41 / $581.41	Facility		$581.41	$581.41	$581.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $482.28 / $674.32 / $916.34	Professional		$482.28	$674.32	$916.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $367.62 / $629.22	Professional		$71.16	$367.62	$629.22
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 $382.84 / $569.67 / $945.02	Professional		$382.84	$569.67	$945.02