Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $631.02 / $2,849.00 / $10,268.00	Facility		$631.02	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.90 / $600.62 / $1,062.49	Professional		$414.90	$600.62	$1,062.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,894.00 / $8,800.00	Facility		$1,152.00	$2,894.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.56 / $548.29 / $1,079.41	Professional		$384.56	$548.29	$1,079.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $568.95 / $697.50 / $1,525.80	Facility		$568.95	$697.50	$1,525.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $464.30 / $721.65 / $1,125.78	Professional		$464.30	$721.65	$1,125.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $786.18 / $1,124.08 / $21,571.00	Facility		$786.18	$1,124.08	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $452.11 / $667.30 / $1,221.13	Professional		$452.11	$667.30	$1,221.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,124.08 / $1,124.08 / $1,253.49	Facility		$1,124.08	$1,124.08	$1,253.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $459.53 / $704.86 / $1,109.73	Professional		$459.53	$704.86	$1,109.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.89 / $436.67 / $741.46	Professional		$74.89	$436.67	$741.46
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 $545.77 / $698.80 / $1,357.00	Professional		$545.77	$698.80	$1,357.00