Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,455.00 / $3,728.42 / $10,268.00	Facility		$1,455.00	$3,728.42	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $450.00 / $5,259.20	Professional		$86.38	$450.00	$5,259.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,093.00 / $7,313.00 / $17,584.00	Facility		$1,093.00	$7,313.00	$17,584.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $505.05 / $505.05 / $72,899.27	Facility		$505.05	$505.05	$72,899.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $357.04 / $374.04 / $374.04	Professional		$357.04	$374.04	$374.04
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
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $412.92 / $424.29 / $720.00	Professional		$412.92	$424.29	$720.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $464.44 / $1,452.00 / $3,923.00	Facility		$464.44	$1,452.00	$3,923.00