Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.93 / $1,902.00 / $9,504.00	Facility		$340.93	$1,902.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.24 / $340.93 / $581.09	Professional		$225.24	$340.93	$581.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,118.00 / $8,800.00	Facility		$918.00	$2,118.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.22 / $263.30 / $463.06	Professional		$149.22	$263.30	$463.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $216.94 / $260.33 / $322.20	Facility		$216.94	$260.33	$322.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $262.33 / $359.22 / $424.53	Professional		$262.33	$359.22	$424.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $577.00 / $1,287.90	Facility		$379.00	$577.00	$1,287.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.67 / $350.34 / $596.03	Professional		$229.67	$350.34	$596.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $577.00 / $959.43	Facility		$379.00	$577.00	$959.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $238.63 / $359.22 / $591.40	Professional		$238.63	$359.22	$591.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.34 / $337.98 / $499.91	Professional		$34.34	$337.98	$499.91
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $2,499.00 / $5,235.00	Facility		$675.00	$2,499.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $273.98 / $385.80 / $688.46	Professional		$273.98	$385.80	$688.46