Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.00 / $2,989.00 / $11,581.00	Facility		$951.00	$2,989.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.79 / $87.96 / $106.39	Professional		$60.79	$87.96	$106.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $1,927.00 / $3,943.00	Facility		$814.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.13 / $52.07 / $82.68	Professional		$36.13	$52.07	$82.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.97 / $1,281.45 / $2,883.27	Facility		$93.97	$1,281.45	$2,883.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.03 / $1,470.46 / $2,594.94	Professional		$98.03	$1,470.46	$2,594.94
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 Facility Modifier Low / Median / High Price $102.58 / $102.58 / $102.58	Facility		$102.58	$102.58	$102.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $144.07 / $144.07 / $427.20	Professional		$144.07	$144.07	$427.20
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 $480.00 / $979.00 / $3,398.00	Facility		$480.00	$979.00	$3,398.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $115.97 / $181.83	Professional		$75.34	$115.97	$181.83