Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.04 / $6,251.00 / $11,581.00	Facility		$700.04	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $439.74 / $501.68 / $938.83	Professional		$439.74	$501.68	$938.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,437.00 / $19,117.00	Facility		$2,084.00	$4,437.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.88 / $669.54 / $1,488.26	Professional		$433.88	$669.54	$1,488.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $437.10 / $476.83 / $694.32	Facility		$437.10	$476.83	$694.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $514.23 / $514.23 / $654.47	Professional		$514.23	$514.23	$654.47
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 $490.00 / $677.84 / $1,045.33	Professional		$490.00	$677.84	$1,045.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $559.83 / $559.83 / $559.83	Facility		$559.83	$559.83	$559.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $490.85 / $707.32 / $1,045.33	Professional		$490.85	$707.32	$1,045.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $343.32 / $596.69	Professional		$71.16	$343.32	$596.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $422.97 / $631.10 / $1,023.90	Professional		$422.97	$631.10	$1,023.90