Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $565.64 / $5,135.00 / $10,817.74	Facility		$565.64	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.38 / $380.39 / $1,017.86	Professional		$330.38	$380.39	$1,017.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.20 / $396.89 / $612.50	Professional		$301.20	$396.89	$612.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $348.57 / $380.26 / $553.71	Facility		$348.57	$380.26	$553.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $402.67 / $410.08 / $521.91	Professional		$402.67	$410.08	$521.91
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 $391.44 / $521.91 / $738.56	Professional		$391.44	$521.91	$738.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $444.52 / $444.52 / $444.52	Facility		$444.52	$444.52	$444.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $398.58 / $535.99 / $721.03	Professional		$398.58	$535.99	$721.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.17 / $305.31 / $471.57	Professional		$64.17	$305.31	$471.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $316.38 / $487.93 / $795.35	Professional		$316.38	$487.93	$795.35