Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.66 / $2,849.00 / $9,516.00	Facility		$579.66	$2,849.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.84 / $673.51 / $1,799.05	Professional		$223.84	$673.51	$1,799.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.56 / $451.24 / $1,768.24	Professional		$218.56	$451.24	$1,768.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $203.54 / $249.44 / $296.38	Facility		$203.54	$249.44	$296.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $783.40 / $982.21 / $1,116.15	Professional		$783.40	$982.21	$1,116.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.66 / $359.66 / $21,571.00	Facility		$359.66	$359.66	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.69 / $616.46 / $1,875.14	Professional		$237.69	$616.46	$1,875.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $359.66 / $359.66 / $1,153.86	Facility		$359.66	$359.66	$1,153.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $239.32 / $540.72 / $1,855.76	Professional		$239.32	$540.72	$1,855.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $813.04 / $1,085.14 / $1,508.07	Professional		$813.04	$1,085.14	$1,508.07
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $1,009.00 / $3,218.00	Facility		$444.00	$1,009.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $964.25 / $1,352.35 / $2,433.32	Professional		$964.25	$1,352.35	$2,433.32