Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.25 / $3,983.00 / $10,268.00	Facility		$309.25	$3,983.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.47 / $295.66 / $576.12	Professional		$172.47	$295.66	$576.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.00 / $5,770.00 / $30,285.00	Facility		$2,670.00	$5,770.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.10 / $143.21 / $252.08	Professional		$95.10	$143.21	$252.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $161.44 / $207.19 / $256.44	Facility		$161.44	$207.19	$256.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $328.98 / $418.70 / $127,498.73	Professional		$328.98	$418.70	$127,498.73
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 $201.50 / $326.70 / $561.52	Professional		$201.50	$326.70	$561.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $310.52 / $310.52 / $310.52	Facility		$310.52	$310.52	$310.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $205.46 / $328.05 / $568.24	Professional		$205.46	$328.05	$568.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $225.80 / $389.80	Professional		$34.77	$225.80	$389.80
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 $280.92 / $417.49 / $657.76	Professional		$280.92	$417.49	$657.76