Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $559.16 / $2,693.00 / $9,504.00	Facility		$559.16	$2,693.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.23 / $353.41 / $652.14	Professional		$305.23	$353.41	$652.14
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 $278.69 / $367.22 / $595.42	Professional		$278.69	$367.22	$595.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $300.98 / $328.34 / $478.11	Facility		$300.98	$328.34	$478.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $272.83 / $354.09 / $450.66	Professional		$272.83	$354.09	$450.66
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 $338.00 / $465.96 / $671.45	Professional		$338.00	$465.96	$671.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $385.74 / $385.74 / $385.74	Facility		$385.74	$385.74	$385.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $338.00 / $472.38 / $665.30	Professional		$338.00	$472.38	$665.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $240.74 / $406.05	Professional		$34.85	$240.74	$406.05
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 $270.33 / $422.40 / $674.95	Professional		$270.33	$422.40	$674.95