Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.79 / $1,967.00 / $9,516.00	Facility		$240.79	$1,967.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.47 / $237.91 / $439.74	Professional		$154.47	$237.91	$439.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $1,927.00 / $3,943.00	Facility		$814.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.07 / $217.19 / $385.44	Professional		$137.07	$217.19	$385.44
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $180.58 / $180.58 / $180.58	Professional		$180.58	$180.58	$180.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $140.69 / $153.49 / $223.50	Facility		$140.69	$153.49	$223.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $183.96 / $250.45 / $318.75	Professional		$183.96	$250.45	$318.75
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 $176.63 / $268.50 / $429.32	Professional		$176.63	$268.50	$429.32
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $270.31 / $270.31 / $270.31	Facility		$270.31	$270.31	$270.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $270.94 / $431.57	Professional		$180.00	$270.94	$431.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $172.61 / $228.03 / $323.41	Professional		$172.61	$228.03	$323.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,940.00 / $4,067.00	Facility		$1,020.00	$1,940.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $191.48 / $287.56 / $483.98	Professional		$191.48	$287.56	$483.98