Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.92 / $4,777.38 / $11,581.00	Facility		$416.92	$4,777.38	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.81 / $379.02 / $721.17	Professional		$279.81	$379.02	$721.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.14 / $332.54 / $543.20	Professional		$214.14	$332.54	$543.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $240.79 / $350.63 / $442.64	Facility		$240.79	$350.63	$442.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $261.22 / $346.87 / $614.91	Professional		$261.22	$346.87	$614.91
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 $260.43 / $388.68 / $640.09	Professional		$260.43	$388.68	$640.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6,358.34 / $6,358.34 / $6,790.61	Facility		$6,358.34	$6,358.34	$6,790.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $283.27 / $398.29 / $645.84	Professional		$283.27	$398.29	$645.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $250.06 / $341.15 / $472.21	Professional		$250.06	$341.15	$472.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,920.00 / $7,847.00	Facility		$2,840.00	$5,920.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $347.37 / $448.85 / $701.42	Professional		$347.37	$448.85	$701.42