Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.37 / $2,113.00 / $10,268.00	Facility		$68.37	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.08 / $78.23 / $240.67	Professional		$39.08	$78.23	$240.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $1,927.00 / $3,943.00	Facility		$814.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.81 / $80.41 / $131.11	Professional		$45.81	$80.41	$131.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.59 / $49.52 / $65.78	Facility		$38.59	$49.52	$65.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $101.93 / $127,498.73	Professional		$80.09	$101.93	$127,498.73
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 $49.53 / $96.07 / $212.45	Professional		$49.53	$96.07	$212.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $74.15 / $74.15 / $74.15	Facility		$74.15	$74.15	$74.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $49.53 / $94.65 / $212.45	Professional		$49.53	$94.65	$212.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.46 / $104.97 / $150.61	Professional		$78.46	$104.97	$150.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,940.00 / $4,067.00	Facility		$1,020.00	$1,940.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.12 / $114.96 / $196.46	Professional		$64.12	$114.96	$196.46