Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.27 / $2,849.00 / $9,534.00	Facility		$508.27	$2,849.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.16 / $493.08 / $725.39	Professional		$350.16	$493.08	$725.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,069.00 / $3,554.00 / $19,117.00	Facility		$1,069.00	$3,554.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.70 / $371.03 / $662.08	Professional		$257.70	$371.03	$662.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $345.09 / $414.11 / $512.54	Facility		$345.09	$414.11	$512.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $387.29 / $531.95 / $628.66	Professional		$387.29	$531.95	$628.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.74 / $538.60 / $756.22	Facility		$515.74	$538.60	$756.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.19 / $531.94 / $866.82	Professional		$346.19	$531.94	$866.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $515.74 / $538.60 / $616.29	Facility		$515.74	$538.60	$616.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $360.87 / $538.41 / $860.78	Professional		$360.87	$538.41	$860.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $481.83 / $723.32	Professional		$34.77	$481.83	$723.32
United Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $4,072.00 / $6,238.00	Facility		$800.00	$4,072.00	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $384.07 / $559.12 / $1,013.85	Professional		$384.07	$559.12	$1,013.85