Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.99 / $7,849.00 / $11,627.00	Facility		$478.99	$7,849.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.52 / $478.99 / $2,311.62	Professional		$434.52	$478.99	$2,311.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $919.00 / $3,175.00 / $14,996.00	Facility		$919.00	$3,175.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.14 / $409.96 / $682.08	Professional		$305.14	$409.96	$682.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $458.02 / $549.62 / $680.28	Facility		$458.02	$549.62	$680.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $382.30 / $503.82 / $595.42	Professional		$382.30	$503.82	$595.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $547.70 / $21,571.00	Facility		$425.00	$547.70	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $445.89 / $614.87 / $979.52	Professional		$445.89	$614.87	$979.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $547.70 / $1,200.00	Facility		$425.00	$547.70	$1,200.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $455.94 / $615.57 / $920.74	Professional		$455.94	$615.57	$920.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $269.70 / $310.15 / $388.93	Professional		$269.70	$310.15	$388.93
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $2,883.00 / $6,111.00	Facility		$650.00	$2,883.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $337.12 / $487.70 / $770.27	Professional		$337.12	$487.70	$770.27