Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.32 / $3,278.00 / $10,268.00	Facility		$615.32	$3,278.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.50 / $427.84 / $778.97	Professional		$397.50	$427.84	$778.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,485.00 / $3,080.00 / $19,117.00	Facility		$1,485.00	$3,080.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.11 / $471.86 / $776.93	Professional		$358.11	$471.86	$776.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $393.63 / $472.36 / $584.64	Facility		$393.63	$472.36	$584.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $412.79 / $432.99 / $511.72	Professional		$412.79	$432.99	$511.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $577.00 / $6,123.59	Facility		$379.00	$577.00	$6,123.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.51 / $557.96 / $859.39	Professional		$406.51	$557.96	$859.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $577.00 / $4,561.82	Facility		$379.00	$577.00	$4,561.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $413.31 / $581.90 / $846.81	Professional		$413.31	$581.90	$846.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.55 / $404.93 / $592.88	Professional		$40.55	$404.93	$592.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,074.00 / $8,105.00 / $13,382.00	Facility		$1,074.00	$8,105.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $380.48 / $529.13 / $904.02	Professional		$380.48	$529.13	$904.02