Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.88 / $2,113.00 / $10,268.00	Facility		$369.88	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.38 / $369.88 / $646.87	Professional		$302.38	$369.88	$646.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,622.00 / $3,092.00 / $14,996.00	Facility		$1,622.00	$3,092.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.25 / $226.88 / $455.09	Professional		$151.25	$226.88	$455.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $306.00 / $392.72 / $486.09	Facility		$306.00	$392.72	$486.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $399.54 / $508.51 / $127,498.73	Professional		$399.54	$508.51	$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 $335.46 / $458.18 / $673.02	Professional		$335.46	$458.18	$673.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $584.02 / $584.02 / $584.02	Facility		$584.02	$584.02	$584.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $343.63 / $474.45 / $662.48	Professional		$343.63	$474.45	$662.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $247.91 / $471.23	Professional		$34.85	$247.91	$471.23
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 $281.14 / $431.78 / $721.83	Professional		$281.14	$431.78	$721.83