Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.63 / $2,849.00 / $9,534.00	Facility		$265.63	$2,849.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.91 / $248.82 / $463.22	Professional		$163.91	$248.82	$463.22
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 $140.13 / $188.29 / $303.20	Professional		$140.13	$188.29	$303.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.21 / $172.60 / $251.32	Facility		$158.21	$172.60	$251.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $199.12 / $290.18 / $369.32	Professional		$199.12	$290.18	$369.32
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 $194.59 / $286.01 / $453.96	Professional		$194.59	$286.01	$453.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $302.51 / $302.51 / $302.51	Facility		$302.51	$302.51	$302.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $198.32 / $296.62 / $453.96	Professional		$198.32	$296.62	$453.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $283.27 / $400.12	Professional		$216.90	$283.27	$400.12
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 $210.18 / $320.92 / $528.67	Professional		$210.18	$320.92	$528.67