Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.26 / $41.13 / $180.32	Facility		$18.26	$41.13	$180.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.26 / $31.17 / $58.86	Professional		$18.26	$31.17	$58.86
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 $23.06 / $32.84 / $56.47	Professional		$23.06	$32.84	$56.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.59 / $21.29 / $28.28	Facility		$16.59	$21.29	$28.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $39.01 / $127,498.73	Professional		$29.57	$39.01	$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 $21.11 / $36.29 / $69.15	Professional		$21.11	$36.29	$69.15
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $32.14 / $150.80 / $165.59	Facility		$32.14	$150.80	$165.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.29 / $36.29 / $73.93	Professional		$21.29	$36.29	$73.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $18.83 / $30.27	Professional		$16.00	$18.83	$30.27
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 $24.83 / $43.33 / $72.03	Professional		$24.83	$43.33	$72.03