Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.29 / $897.16 / $11,627.00	Facility		$177.29	$897.16	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.93 / $250.31 / $444.90	Professional		$152.93	$250.31	$444.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $1,927.00 / $3,943.00	Facility		$814.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.71 / $173.17 / $283.26	Professional		$127.71	$173.17	$283.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $148.94 / $162.49 / $236.60	Facility		$148.94	$162.49	$236.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $189.86 / $305.87 / $389.28	Professional		$189.86	$305.87	$389.28
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 $186.38 / $288.14 / $476.59	Professional		$186.38	$288.14	$476.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $284.76 / $284.76 / $284.76	Facility		$284.76	$284.76	$284.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $189.57 / $296.94 / $482.65	Professional		$189.57	$296.94	$482.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $242.98 / $318.39 / $449.83	Professional		$242.98	$318.39	$449.83
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.25 / $327.71 / $559.62	Professional		$217.25	$327.71	$559.62