Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.57 / $1,967.00 / $9,534.00	Facility		$169.57	$1,967.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.17 / $203.18 / $396.84	Professional		$88.17	$203.18	$396.84
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 $68.98 / $188.46 / $322.47	Professional		$68.98	$188.46	$322.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $116.27 / $142.55 / $238.58	Facility		$116.27	$142.55	$238.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.83 / $262.83 / $410.01	Professional		$98.83	$262.83	$410.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.41 / $175.76 / $21,571.00	Facility		$160.41	$175.76	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.91 / $214.15 / $394.41	Professional		$93.91	$214.15	$394.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $175.76 / $175.76 / $196.00	Facility		$175.76	$175.76	$196.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $98.31 / $205.27 / $394.04	Professional		$98.31	$205.27	$394.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $200.49 / $318.10	Professional		$32.22	$200.49	$318.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,721.00 / $5,268.00	Facility		$1,689.00	$2,721.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $200.10 / $250.60 / $490.10	Professional		$200.10	$250.60	$490.10