Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.92 / $5,467.00 / $11,561.00	Facility		$628.92	$5,467.00	$11,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.26 / $596.91 / $1,289.65	Professional		$505.26	$596.91	$1,289.65
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 $436.62 / $589.27 / $1,051.58	Professional		$436.62	$589.27	$1,051.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $201.18 / $842.43 / $1,030.73	Facility		$201.18	$842.43	$1,030.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $557.91 / $688.73 / $1,074.41	Professional		$557.91	$688.73	$1,074.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.21 / $165.28 / $21,571.00	Facility		$148.21	$165.28	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.63 / $733.17 / $1,189.72	Professional		$490.63	$733.17	$1,189.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $148.21 / $148.21 / $165.28	Facility		$148.21	$148.21	$165.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $499.42 / $728.00 / $1,093.90	Professional		$499.42	$728.00	$1,093.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.18 / $417.14 / $742.18	Professional		$76.18	$417.14	$742.18
United Facility/Professional Facility Modifier Low / Median / High Price $226.00 / $881.00 / $2,833.00	Facility		$226.00	$881.00	$2,833.00
United Facility/Professional Professional Modifier Low / Median / High Price $507.06 / $628.89 / $1,281.45	Professional		$507.06	$628.89	$1,281.45