Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.47 / $507.26 / $10,268.00	Facility		$126.47	$507.26	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.83 / $147.24 / $302.62	Professional		$105.83	$147.24	$302.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.91 / $155.36 / $276.81	Professional		$117.91	$155.36	$276.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.04 / $150.05 / $185.72	Facility		$125.04	$150.05	$185.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.55 / $164.45 / $164.45	Professional		$134.55	$164.45	$164.45
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 $137.15 / $196.56 / $290.55	Professional		$137.15	$196.56	$290.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,035.98 / $1,035.98 / $1,035.98	Facility		$1,035.98	$1,035.98	$1,035.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $139.55 / $202.46 / $303.56	Professional		$139.55	$202.46	$303.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.77 / $196.66 / $262.58	Professional		$148.77	$196.66	$262.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,952.00 / $4,132.00	Facility		$1,020.00	$1,952.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.04 / $202.87 / $345.86	Professional		$144.04	$202.87	$345.86