Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.64 / $2,565.00 / $9,504.00	Facility		$169.64	$2,565.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.61 / $169.64 / $314.89	Professional		$111.61	$169.64	$314.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,051.00 / $2,150.00 / $3,943.00	Facility		$1,051.00	$2,150.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.84 / $131.40 / $209.07	Professional		$93.84	$131.40	$209.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $111.36 / $141.43 / $176.89	Facility		$111.36	$141.43	$176.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $146.87 / $195.84 / $249.26	Professional		$146.87	$195.84	$249.26
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 $136.66 / $204.74 / $325.24	Professional		$136.66	$204.74	$325.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $214.88 / $214.88 / $214.88	Facility		$214.88	$214.88	$214.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $139.35 / $211.23 / $329.66	Professional		$139.35	$211.23	$329.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.48 / $177.90 / $252.76	Professional		$136.48	$177.90	$252.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,940.00 / $3,923.00	Facility		$1,020.00	$1,940.00	$3,923.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.06 / $227.82 / $382.06	Professional		$148.06	$227.82	$382.06