Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $744.69 / $5,355.00 / $10,817.74	Facility		$744.69	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $462.39 / $521.51 / $1,021.85	Professional		$462.39	$521.51	$1,021.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,528.00 / $14,996.00	Facility		$1,712.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $538.79 / $703.82 / $1,108.72	Professional		$538.79	$703.82	$1,108.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.97 / $587.77 / $780.63	Facility		$457.97	$587.77	$780.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $538.79 / $685.73 / $127,498.73	Professional		$538.79	$685.73	$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 $510.01 / $748.84 / $1,126.56	Professional		$510.01	$748.84	$1,126.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $589.85 / $589.85 / $589.85	Facility		$589.85	$589.85	$589.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $514.29 / $759.20 / $1,126.56	Professional		$514.29	$759.20	$1,126.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $346.10 / $626.67	Professional		$71.16	$346.10	$626.67
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 $448.87 / $711.71 / $1,124.04	Professional		$448.87	$711.71	$1,124.04