Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.72 / $1,523.00 / $9,504.00	Facility		$80.72	$1,523.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.51 / $86.37 / $162.22	Professional		$48.51	$86.37	$162.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.28 / $99.36 / $161.16	Professional		$67.28	$99.36	$161.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.42 / $77.80 / $77.80	Facility		$53.42	$77.80	$77.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.87 / $95.87 / $115.61	Professional		$95.87	$95.87	$115.61
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 $51.07 / $95.87 / $163.65	Professional		$51.07	$95.87	$163.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $293.31 / $293.31 / $378.99	Facility		$293.31	$293.31	$378.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $104.58 / $177.01	Professional		$55.00	$104.58	$177.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $110.13 / $155.52	Professional		$81.79	$110.13	$155.52
United Facility/Professional Facility Modifier Low / Median / High Price $467.00 / $1,009.00 / $3,398.00	Facility		$467.00	$1,009.00	$3,398.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.36 / $105.33 / $163.71	Professional		$77.36	$105.33	$163.71