Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,696.00 / $9,504.00 / $11,627.00	Facility		$3,696.00	$9,504.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $784.00 / $9,496.00 / $12,565.00	Professional		$784.00	$9,496.00	$12,565.00
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 $14,711.04 / $60,749.39 / $72,899.27	Facility		$14,711.04	$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 $552.00 / $552.00 / $552.00	Professional		$552.00	$552.00	$552.00
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 $552.00 / $552.00 / $552.00	Professional		$552.00	$552.00	$552.00
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 $487.00 / $1,930.00 / $4,132.00	Facility		$487.00	$1,930.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $513.52 / $513.52 / $513.52	Professional		$513.52	$513.52	$513.52