Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.49 / $2,565.00 / $9,516.00	Facility		$324.49	$2,565.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.65 / $275.52 / $587.02	Professional		$168.65	$275.52	$587.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.09 / $265.80 / $512.28	Professional		$143.09	$265.80	$512.28
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $214.63 / $398.70 / $768.42	Professional	50	$214.63	$398.70	$768.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $218.34 / $267.68 / $1,289.18	Facility		$218.34	$267.68	$1,289.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $185.58 / $367.23 / $572.87	Professional		$185.58	$367.23	$572.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.98 / $949.77 / $21,571.00	Facility		$301.98	$949.77	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.35 / $309.17 / $578.23	Professional		$176.35	$309.17	$578.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $949.77 / $949.77 / $1,059.09	Facility		$949.77	$949.77	$1,059.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $186.49 / $320.20 / $549.88	Professional		$186.49	$320.20	$549.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $266.85 / $416.01	Professional		$32.34	$266.85	$416.01
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 $275.27 / $344.44 / $707.96	Professional		$275.27	$344.44	$707.96