Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.22 / $2,113.00 / $10,268.00	Facility		$472.22	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.10 / $472.22 / $834.47	Professional		$384.10	$472.22	$834.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.56 / $430.23 / $822.62	Professional		$341.56	$430.23	$822.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $340.18 / $621.48 / $760.41	Facility		$340.18	$621.48	$760.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $379.90 / $543.79 / $848.33	Professional		$379.90	$543.79	$848.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.62 / $279.48 / $21,571.00	Facility		$250.62	$279.48	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.95 / $548.74 / $944.95	Professional		$389.95	$548.74	$944.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $250.62 / $250.62 / $279.48	Facility		$250.62	$250.62	$279.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $389.95 / $565.42 / $835.41	Professional		$389.95	$565.42	$835.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.13 / $332.68 / $550.58	Professional		$75.13	$332.68	$550.58
United Facility/Professional Facility Modifier Low / Median / High Price $745.00 / $1,848.00 / $3,923.00	Facility		$745.00	$1,848.00	$3,923.00
United Facility/Professional Professional Modifier Low / Median / High Price $404.68 / $516.29 / $1,055.04	Professional		$404.68	$516.29	$1,055.04