Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $887.86 / $3,242.00 / $10,268.00	Facility		$887.86	$3,242.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $528.94 / $597.08 / $1,153.30	Professional		$528.94	$597.08	$1,153.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $413.22 / $593.99 / $1,057.35	Professional		$413.22	$593.99	$1,057.35
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $619.83 / $890.99 / $1,586.04	Professional	50	$619.83	$890.99	$1,586.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $719.55 / $882.14 / $1,289.18	Facility		$719.55	$882.14	$1,289.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $431.67 / $691.88 / $1,079.33	Professional		$431.67	$691.88	$1,079.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $667.35 / $949.77 / $21,571.00	Facility		$667.35	$949.77	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.47 / $762.71 / $1,199.13	Professional		$498.47	$762.71	$1,199.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $949.77 / $949.77 / $1,059.09	Facility		$949.77	$949.77	$1,059.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $502.12 / $774.90 / $1,117.91	Professional		$502.12	$774.90	$1,117.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.18 / $444.37 / $746.76	Professional		$76.18	$444.37	$746.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $4,072.00 / $6,522.00	Facility		$1,981.00	$4,072.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $510.76 / $646.85 / $1,290.75	Professional		$510.76	$646.85	$1,290.75