Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.98 / $1,048.50 / $7,155.00	Facility		$76.98	$1,048.50	$7,155.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.79 / $63.21 / $123.62	Professional		$33.79	$63.21	$123.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,059.00 / $2,412.00	Facility		$937.00	$2,059.00	$2,412.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.22 / $57.23 / $101.56	Professional		$37.22	$57.23	$101.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.41 / $64.26 / $74.50	Facility		$51.41	$64.26	$74.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $91.69 / $111.86	Professional		$68.31	$91.69	$111.86
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.31 / $74.75 / $129.85	Professional		$50.31	$74.75	$129.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $296.61 / $669.08 / $1,254.20	Facility		$296.61	$669.08	$1,254.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $53.61 / $79.69 / $122.31	Professional		$53.61	$79.69	$122.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $74.53 / $102.79	Professional		$54.68	$74.53	$102.79
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $975.00 / $2,914.00	Facility		$444.00	$975.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.56 / $76.51 / $129.21	Professional		$53.56	$76.51	$129.21