Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.26 / $2,451.00 / $8,956.00	Facility		$293.26	$2,451.00	$8,956.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.36 / $293.26 / $550.40	Professional		$190.36	$293.26	$550.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,412.00 / $8,800.00	Facility		$1,145.00	$2,412.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.53 / $297.08 / $504.06	Professional		$202.53	$297.08	$504.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $211.72 / $308.27 / $308.27	Facility		$211.72	$308.27	$308.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $267.91 / $346.30 / $346.30	Professional		$267.91	$346.30	$346.30
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 $200.01 / $328.91 / $550.94	Professional		$200.01	$328.91	$550.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,510.49 / $1,510.49 / $2,098.10	Facility		$1,510.49	$1,510.49	$2,098.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $217.94 / $342.60 / $542.36	Professional		$217.94	$342.60	$542.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $295.26 / $407.52 / $560.66	Professional		$295.26	$407.52	$560.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,551.00 / $5,235.00	Facility		$1,689.00	$2,551.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $279.00 / $362.34 / $603.13	Professional		$279.00	$362.34	$603.13