Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.97 / $2,565.00 / $9,504.00	Facility		$154.97	$2,565.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.68 / $154.97 / $257.52	Professional		$105.68	$154.97	$257.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $777.00 / $1,765.00 / $3,943.00	Facility		$777.00	$1,765.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.21 / $129.19 / $227.13	Professional		$82.21	$129.19	$227.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.23 / $122.68 / $151.83	Facility		$102.23	$122.68	$151.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $127.79 / $160.11 / $189.22	Professional		$127.79	$160.11	$189.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.25 / $491.00 / $885.00	Facility		$172.25	$491.00	$885.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $171.03 / $302.83	Professional		$112.45	$171.03	$302.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $172.25 / $491.00 / $885.00	Facility		$172.25	$491.00	$885.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $117.56 / $178.59 / $300.00	Professional		$117.56	$178.59	$300.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.90 / $150.74 / $208.72	Professional		$112.90	$150.74	$208.72
United Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $876.00 / $3,218.00	Facility		$135.00	$876.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $178.24 / $313.64	Professional		$129.63	$178.24	$313.64