Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.08 / $5,201.00 / $11,627.00	Facility		$576.08	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.98 / $387.41 / $753.37	Professional		$333.98	$387.41	$753.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,025.00 / $8,800.00	Facility		$1,152.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.80 / $429.37 / $697.39	Professional		$311.80	$429.37	$697.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $353.38 / $385.50 / $561.34	Facility		$353.38	$385.50	$561.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $378.05 / $415.73 / $529.12	Professional		$378.05	$415.73	$529.12
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 $391.08 / $535.71 / $765.19	Professional		$391.08	$535.71	$765.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $453.16 / $453.16 / $453.16	Facility		$453.16	$453.16	$453.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $391.08 / $546.14 / $765.19	Professional		$391.08	$546.14	$765.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.21 / $337.69 / $521.01	Professional		$67.21	$337.69	$521.01
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 $317.04 / $485.92 / $801.40	Professional		$317.04	$485.92	$801.40