Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,109.00 / $2,989.00 / $11,581.00	Facility		$1,109.00	$2,989.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.24 / $77.16 / $91.84	Professional		$54.24	$77.16	$91.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $1,426.00 / $1,718.00	Facility		$1,426.00	$1,426.00	$1,718.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $37.53 / $61.88	Professional		$29.34	$37.53	$61.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.31 / $1,125.92 / $2,483.67	Facility		$81.31	$1,125.92	$2,483.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.44 / $1,266.67 / $2,235.30	Professional		$84.44	$1,266.67	$2,235.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.85 / $89.85 / $89.85	Facility		$89.85	$89.85	$89.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.72 / $375.77 / $375.77	Professional		$126.72	$375.77	$375.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $89.85 / $89.85 / $89.85	Facility		$89.85	$89.85	$89.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $126.72 / $375.77 / $375.77	Professional		$126.72	$375.77	$375.77
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 Professional Modifier Low / Median / High Price $66.83 / $90.55 / $160.87	Professional		$66.83	$90.55	$160.87