Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.45 / $2,113.00 / $10,268.00	Facility		$402.45	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.01 / $385.02 / $706.15	Professional		$340.01	$385.02	$706.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.72 / $373.91 / $677.37	Professional		$264.72	$373.91	$677.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $259.31 / $542.58 / $663.86	Facility		$259.31	$542.58	$663.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $275.93 / $446.19 / $696.06	Professional		$275.93	$446.19	$696.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.04 / $213.03 / $21,571.00	Facility		$191.04	$213.03	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.86 / $472.21 / $764.29	Professional		$315.86	$472.21	$764.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $191.04 / $191.04 / $213.03	Facility		$191.04	$191.04	$213.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $321.64 / $472.21 / $698.97	Professional		$321.64	$472.21	$698.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $250.50 / $446.67	Professional		$36.79	$250.50	$446.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $4,072.00 / $6,522.00	Facility		$1,981.00	$4,072.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $321.37 / $414.14 / $883.60	Professional		$321.37	$414.14	$883.60