Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.71 / $2,292.00 / $9,504.00	Facility		$153.71	$2,292.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $153.71 / $263.76	Professional		$67.95	$153.71	$263.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.33 / $157.56 / $294.08	Professional		$70.33	$157.56	$294.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.08 / $78.09 / $122.03	Facility		$65.08	$78.09	$122.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $160.72 / $160.72 / $284.91	Professional		$160.72	$160.72	$284.91
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 $78.09 / $168.03 / $299.89	Professional		$78.09	$168.03	$299.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,210.19 / $1,797.95 / $2,251.86	Facility		$1,210.19	$1,797.95	$2,251.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $81.34 / $175.34 / $306.83	Professional		$81.34	$175.34	$306.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.80 / $155.32 / $209.77	Professional		$114.80	$155.32	$209.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,952.00 / $4,132.00	Facility		$1,020.00	$1,952.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.37 / $201.65 / $322.64	Professional		$144.37	$201.65	$322.64