Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,523.00 / $2,989.00 / $11,581.00	Facility		$1,523.00	$2,989.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $470.71 / $1,536.00 / $9,496.00	Professional		$470.71	$1,536.00	$9,496.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $716.00 / $5,208.00 / $17,584.00	Facility		$716.00	$5,208.00	$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 $263.25 / $315.89 / $26,999.73	Facility		$263.25	$315.89	$26,999.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $253.13 / $253.13 / $263.25	Professional		$253.13	$253.13	$263.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $562.00 / $21,571.00	Facility		$425.00	$562.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,102.00 / $1,102.00 / $1,102.00	Professional		$1,102.00	$1,102.00	$1,102.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $530.00 / $1,200.00	Facility		$425.00	$530.00	$1,200.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,102.00 / $1,102.00 / $1,102.00	Professional		$1,102.00	$1,102.00	$1,102.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $60.00 / $60.00	Professional		$30.00	$60.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $876.00 / $3,218.00	Facility		$135.00	$876.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $81.43 / $81.43 / $81.43	Professional		$81.43	$81.43	$81.43