Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.73 / $4,197.00 / $11,581.00	Facility		$517.73	$4,197.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.55 / $371.64 / $712.68	Professional		$304.55	$371.64	$712.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,847.00 / $19,117.00	Facility		$2,003.00	$4,847.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.45 / $411.39 / $804.84	Professional		$326.45	$411.39	$804.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $295.89 / $355.08 / $439.49	Facility		$295.89	$355.08	$439.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $325.49 / $325.49 / $339.77	Professional		$325.49	$325.49	$339.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.45 / $458.65 / $716.10	Professional		$284.45	$458.65	$716.10
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,310.38 / $3,310.38 / $4,330.05	Facility		$3,310.38	$3,310.38	$4,330.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $310.70 / $464.99 / $716.10	Professional		$310.70	$464.99	$716.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $299.99 / $398.26 / $531.79	Professional		$299.99	$398.26	$531.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,998.00 / $7,847.00	Facility		$2,840.00	$5,998.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.50 / $441.15 / $698.94	Professional		$302.50	$441.15	$698.94