Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $783.99 / $5,135.00 / $10,817.74	Facility		$783.99	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.75 / $527.23 / $1,043.77	Professional		$450.75	$527.23	$1,043.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $4,534.00 / $14,996.00	Facility		$1,760.00	$4,534.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.48 / $552.65 / $875.53	Professional		$408.48	$552.65	$875.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $483.70 / $620.79 / $824.49	Facility		$483.70	$620.79	$824.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $569.05 / $724.26 / $127,498.73	Professional		$569.05	$724.26	$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 $532.99 / $718.22 / $1,008.16	Professional		$532.99	$718.22	$1,008.16
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $622.33 / $622.33 / $622.33	Facility		$622.33	$622.33	$622.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $536.69 / $724.27 / $1,008.16	Professional		$536.69	$724.27	$1,008.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $390.36 / $659.16	Professional		$71.16	$390.36	$659.16
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,440.00 / $13,382.00	Facility		$4,070.00	$8,440.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $426.54 / $656.13 / $1,078.84	Professional		$426.54	$656.13	$1,078.84