Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $581.14 / $3,325.00 / $10,635.00	Facility		$581.14	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.02 / $376.61 / $1,219.43	Professional		$329.02	$376.61	$1,219.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,443.00 / $5,715.89 / $9,773.00	Facility		$2,443.00	$5,715.89	$9,773.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.67 / $375.46 / $672.13	Professional		$262.67	$375.46	$672.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $451.95 / $554.07 / $677.93	Facility		$451.95	$554.07	$677.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $309.26 / $434.56 / $677.93	Professional		$309.26	$434.56	$677.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.73 / $450.00 / $21,571.00	Facility		$420.73	$450.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.38 / $482.69 / $752.46	Professional		$314.38	$482.69	$752.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $318.20 / $482.69 / $707.21	Professional		$318.20	$482.69	$707.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $308.38 / $469.82	Professional		$72.25	$308.38	$469.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $2,883.00 / $5,708.00	Facility		$1,050.00	$2,883.00	$5,708.00
United Facility/Professional Professional Modifier Low / Median / High Price $320.27 / $399.80 / $816.46	Professional		$320.27	$399.80	$816.46