Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $593.19 / $6,064.00 / $11,581.00	Facility		$593.19	$6,064.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.86 / $405.59 / $732.14	Professional		$378.86	$405.59	$732.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,794.00 / $3,731.00 / $19,117.00	Facility		$1,794.00	$3,731.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.82 / $470.90 / $776.85	Professional		$359.82	$470.90	$776.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $379.96 / $455.95 / $564.34	Facility		$379.96	$455.95	$564.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $399.41 / $417.96 / $493.95	Professional		$399.41	$417.96	$493.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.91 / $3,752.58 / $5,502.41	Facility		$459.91	$3,752.58	$5,502.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $531.95 / $829.06	Professional		$380.00	$531.95	$829.06
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $562.00 / $3,752.58 / $4,099.06	Facility		$562.00	$3,752.58	$4,099.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $383.26 / $550.94 / $813.12	Professional		$383.26	$550.94	$813.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $351.82 / $465.52 / $625.09	Professional		$351.82	$465.52	$625.09
United Facility/Professional Facility Modifier Low / Median / High Price $925.00 / $5,209.00 / $7,778.00	Facility		$925.00	$5,209.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $361.97 / $496.60 / $844.19	Professional		$361.97	$496.60	$844.19