Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.47 / $2,032.00 / $9,496.00	Facility		$154.47	$2,032.00	$9,496.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.02 / $140.43 / $266.39	Professional		$85.02	$140.43	$266.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.11 / $123.42 / $202.01	Professional		$76.11	$123.42	$202.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.81 / $81.81 / $119.13	Facility		$81.81	$81.81	$119.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $130.37 / $130.37 / $148.75	Professional		$130.37	$130.37	$148.75
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 $88.23 / $136.30 / $233.26	Professional		$88.23	$136.30	$233.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,335.70 / $1,524.02 / $3,149.03	Facility		$1,335.70	$1,524.02	$3,149.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $96.26 / $142.22 / $232.18	Professional		$96.26	$142.22	$232.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.59 / $152.37 / $205.16	Professional		$115.59	$152.37	$205.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,940.00 / $4,201.00	Facility		$1,020.00	$1,940.00	$4,201.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.05 / $165.10 / $265.04	Professional		$125.05	$165.10	$265.04