Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.31 / $2,816.00 / $9,516.00	Facility		$352.31	$2,816.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.60 / $352.31 / $578.99	Professional		$245.60	$352.31	$578.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,443.00 / $8,800.00	Facility		$918.00	$2,443.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.20 / $297.20 / $503.33	Professional		$210.20	$297.20	$503.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.94 / $281.93 / $348.95	Facility		$234.94	$281.93	$348.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $269.31 / $365.08 / $431.46	Professional		$269.31	$365.08	$431.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.40 / $885.00 / $2,837.31	Facility		$420.40	$885.00	$2,837.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.68 / $380.00 / $635.80	Professional		$254.68	$380.00	$635.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $885.00 / $2,113.67	Facility		$491.00	$885.00	$2,113.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $261.16 / $386.13 / $635.80	Professional		$261.16	$386.13	$635.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.34 / $320.31 / $494.54	Professional		$34.34	$320.31	$494.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,092.00 / $5,605.00 / $8,846.00	Facility		$1,092.00	$5,605.00	$8,846.00
United Facility/Professional Professional Modifier Low / Median / High Price $288.25 / $397.98 / $702.18	Professional		$288.25	$397.98	$702.18