Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.27 / $4,723.00 / $11,627.00	Facility		$187.27	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.54 / $195.85 / $461.57	Professional		$176.54	$195.85	$461.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,890.11 / $4,089.29 / $7,408.79	Facility		$1,890.11	$4,089.29	$7,408.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.45 / $231.21 / $366.16	Professional		$167.45	$231.21	$366.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.78 / $202.67 / $295.12	Facility		$185.78	$202.67	$295.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $218.56 / $218.56 / $278.17	Professional		$218.56	$218.56	$278.17
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 $208.20 / $282.45 / $387.35	Professional		$208.20	$282.45	$387.35
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $235.62 / $235.62 / $235.62	Facility		$235.62	$235.62	$235.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $208.62 / $288.10 / $383.74	Professional		$208.62	$288.10	$383.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $166.53 / $216.49 / $302.45	Professional		$166.53	$216.49	$302.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.01 / $268.70 / $392.39	Professional		$167.01	$268.70	$392.39