Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.34 / $2,432.00 / $9,534.00	Facility		$206.34	$2,432.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.03 / $199.30 / $358.93	Professional		$133.03	$199.30	$358.93
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 $126.96 / $193.58 / $360.42	Professional		$126.96	$193.58	$360.42
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $167.41 / $167.41 / $167.41	Professional		$167.41	$167.41	$167.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.44 / $142.30 / $207.21	Facility		$130.44	$142.30	$207.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $171.38 / $219.91 / $279.89	Professional		$171.38	$219.91	$279.89
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 $160.44 / $236.68 / $366.00	Professional		$160.44	$236.68	$366.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $249.95 / $249.95 / $249.95	Facility		$249.95	$249.95	$249.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $166.02 / $239.48 / $372.16	Professional		$166.02	$239.48	$372.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.59 / $193.97 / $275.29	Professional		$144.59	$193.97	$275.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,452.00 / $3,756.00	Facility		$1,106.00	$1,452.00	$3,756.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.86 / $239.90 / $410.97	Professional		$158.86	$239.90	$410.97