Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.28 / $5,135.00 / $10,817.74	Facility		$228.28	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.72 / $161.61 / $347.85	Professional		$148.72	$161.61	$347.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.00 / $2,170.00 / $5,211.00	Facility		$891.00	$2,170.00	$5,211.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.82 / $207.27 / $328.18	Professional		$146.82	$207.27	$328.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $152.44 / $166.30 / $242.16	Facility		$152.44	$166.30	$242.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $179.34 / $179.34 / $228.26	Professional		$179.34	$179.34	$228.26
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 $171.19 / $241.94 / $330.90	Professional		$171.19	$241.94	$330.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $195.23 / $195.23 / $195.23	Facility		$195.23	$195.23	$195.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $175.99 / $243.65 / $330.90	Professional		$175.99	$243.65	$330.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $165.13 / $216.49 / $302.45	Professional		$165.13	$216.49	$302.45
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.51 / $220.10 / $347.59	Professional		$140.51	$220.10	$347.59