Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.85 / $2,485.00 / $10,268.00	Facility		$323.85	$2,485.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.19 / $178.52 / $323.85	Professional		$159.19	$178.52	$323.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,492.00 / $8,800.00	Facility		$918.00	$2,492.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.19 / $262.80 / $471.06	Professional		$148.19	$262.80	$471.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $172.17 / $206.60 / $255.72	Facility		$172.17	$206.60	$255.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $142.49 / $189.39 / $223.82	Professional		$142.49	$189.39	$223.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.33 / $577.00 / $2,844.48	Facility		$205.33	$577.00	$2,844.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.20 / $235.11 / $366.13	Professional		$170.20	$235.11	$366.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $577.00 / $2,119.01	Facility		$366.00	$577.00	$2,119.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $177.71 / $241.04 / $355.54	Professional		$177.71	$241.04	$355.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $142.82 / $192.57 / $261.31	Professional		$142.82	$192.57	$261.31
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 $145.72 / $206.60 / $365.46	Professional		$145.72	$206.60	$365.46