Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.39 / $1,183.00 / $11,627.00	Facility		$224.39	$1,183.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.48 / $404.59 / $722.81	Professional		$191.48	$404.59	$722.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,121.00 / $2,786.00 / $8,800.00	Facility		$1,121.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.29 / $301.55 / $627.86	Professional		$168.29	$301.55	$627.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $186.12 / $203.04 / $295.64	Facility		$186.12	$203.04	$295.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $442.97 / $552.52 / $703.21	Professional		$442.97	$552.52	$703.21
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 $226.81 / $396.49 / $835.83	Professional		$226.81	$396.49	$835.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $355.80 / $355.80 / $355.80	Facility		$355.80	$355.80	$355.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $232.91 / $396.49 / $879.00	Professional		$232.91	$396.49	$879.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $484.67 / $733.24	Professional		$32.56	$484.67	$733.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,600.00 / $5,235.00	Facility		$1,689.00	$2,600.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $355.38 / $542.96 / $937.68	Professional		$355.38	$542.96	$937.68