Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.88 / $265.88 / $265.88	Facility		$265.88	$265.88	$265.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $41.50 / $262.39	Professional		$30.00	$41.50	$262.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,093.00 / $7,084.00 / $17,584.00	Facility		$1,093.00	$7,084.00	$17,584.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.61 / $91.61 / $14,661.64	Facility		$91.61	$91.61	$14,661.64
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
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $90.40 / $90.40 / $90.40	Facility		$90.40	$90.40	$90.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $28.88 / $120.00	Professional		$23.50	$28.88	$120.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00