Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $1,883.00 / $9,516.00	Facility		$96.60	$1,883.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.78 / $96.60 / $165.23	Professional		$44.78	$96.60	$165.23
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 $42.05 / $58.64 / $101.46	Professional		$42.05	$58.64	$101.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.62 / $54.74 / $67.76	Facility		$45.62	$54.74	$67.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $103.66 / $103.66	Professional		$78.98	$103.66	$103.66
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 $54.59 / $113.09 / $197.91	Professional		$54.59	$113.09	$197.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $831.00 / $831.00 / $935.14	Facility		$831.00	$831.00	$935.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $56.57 / $114.98 / $197.91	Professional		$56.57	$114.98	$197.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.31 / $115.92 / $157.44	Professional		$86.31	$115.92	$157.44
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 $97.86 / $144.71 / $229.74	Professional		$97.86	$144.71	$229.74