Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.47 / $3,983.00 / $10,268.00	Facility		$463.47	$3,983.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.52 / $461.09 / $887.26	Professional		$313.52	$461.09	$887.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.79 / $276.45 / $473.90	Professional		$190.79	$276.45	$473.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $289.16 / $315.44 / $459.33	Facility		$289.16	$315.44	$459.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $356.39 / $493.50 / $628.10	Professional		$356.39	$493.50	$628.10
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 $355.64 / $526.26 / $810.29	Professional		$355.64	$526.26	$810.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $555.61 / $555.61 / $555.61	Facility		$555.61	$555.61	$555.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $364.11 / $536.15 / $818.59	Professional		$364.11	$536.15	$818.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $300.07 / $567.70	Professional		$34.77	$300.07	$567.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,647.00 / $4,404.00 / $7,351.00	Facility		$2,647.00	$4,404.00	$7,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $384.54 / $597.34 / $958.61	Professional		$384.54	$597.34	$958.61