Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $710.62 / $3,325.00 / $10,635.00	Facility		$710.62	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $470.91 / $477.89 / $937.11	Professional		$470.91	$477.89	$937.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,894.00 / $8,800.00	Facility		$1,152.00	$2,894.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.17 / $497.88 / $834.12	Professional		$351.17	$497.88	$834.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $470.86 / $565.03 / $699.35	Facility		$470.86	$565.03	$699.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $442.06 / $517.95 / $517.95	Professional		$442.06	$517.95	$517.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $540.29 / $540.29 / $21,571.00	Facility		$540.29	$540.29	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.02 / $629.58 / $974.07	Professional		$453.02	$629.58	$974.07
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $540.29 / $540.29 / $540.29	Facility		$540.29	$540.29	$540.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $467.02 / $639.76 / $959.47	Professional		$467.02	$639.76	$959.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.28 / $474.03 / $722.76	Professional		$75.28	$474.03	$722.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $423.40 / $617.28 / $1,039.35	Professional		$423.40	$617.28	$1,039.35