Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.70 / $2,218.89 / $9,504.00	Facility		$325.70	$2,218.89	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.21 / $266.73 / $505.98	Professional		$177.21	$266.73	$505.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,722.00 / $8,800.00	Facility		$1,145.00	$2,722.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.22 / $198.33 / $334.42	Professional		$139.22	$198.33	$334.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.12 / $222.14 / $274.95	Facility		$185.12	$222.14	$274.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $205.79 / $277.86 / $277.86	Professional		$205.79	$277.86	$277.86
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 $196.20 / $296.76 / $509.16	Professional		$196.20	$296.76	$509.16
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $723.47 / $2,468.73 / $3,347.68	Facility		$723.47	$2,468.73	$3,347.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $213.69 / $311.39 / $509.16	Professional		$213.69	$311.39	$509.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.13 / $246.48 / $376.02	Professional		$33.13	$246.48	$376.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,665.00 / $5,268.00	Facility		$1,689.00	$2,665.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $235.35 / $340.39 / $582.96	Professional		$235.35	$340.39	$582.96