Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,048.00 / $2,989.00 / $11,581.00	Facility		$1,048.00	$2,989.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.81 / $300.45 / $374.59	Professional		$184.81	$300.45	$374.59
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 $158.60 / $292.33 / $521.03	Professional		$158.60	$292.33	$521.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $148.85 / $2,029.80 / $4,567.05	Facility		$148.85	$2,029.80	$4,567.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $155.28 / $2,329.19 / $4,110.35	Professional		$155.28	$2,329.19	$4,110.35
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 $379.05 / $379.05 / $379.05	Facility		$379.05	$379.05	$379.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $515.28 / $515.28 / $1,819.45	Professional		$515.28	$515.28	$1,819.45
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 $1,020.00 / $1,940.00 / $4,067.00	Facility		$1,020.00	$1,940.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.80 / $343.89 / $508.90	Professional		$204.80	$343.89	$508.90