Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,773.00 / $3,053.00 / $11,581.00	Facility		$1,773.00	$3,053.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,275.83 / $2,346.40 / $9,496.00	Professional		$1,275.83	$2,346.40	$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 $14,732.23 / $60,749.39 / $72,899.27	Facility		$14,732.23	$60,749.39	$72,899.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75,936.74 / $75,936.74 / $78,974.21	Professional		$75,936.74	$75,936.74	$78,974.21
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 $1,135.00 / $1,135.00 / $1,135.00	Professional		$1,135.00	$1,135.00	$1,135.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $562.00 / $4,570.17	Facility		$425.00	$562.00	$4,570.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,135.00 / $1,135.00 / $1,135.00	Professional		$1,135.00	$1,135.00	$1,135.00
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 $675.00 / $2,499.00 / $5,235.00	Facility		$675.00	$2,499.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.56 / $85.56 / $85.56	Professional		$85.56	$85.56	$85.56