Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.60 / $1,902.00 / $8,956.00	Facility		$114.60	$1,902.00	$8,956.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.79 / $114.60 / $205.45	Professional		$55.79	$114.60	$205.45
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 $51.84 / $92.22 / $182.61	Professional		$51.84	$92.22	$182.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.36 / $68.83 / $107.55	Facility		$57.36	$68.83	$107.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $126.30 / $126.30 / $223.91	Professional		$126.30	$126.30	$223.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $120.56 / $224.42	Professional		$65.95	$120.56	$224.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $306.55 / $886.72 / $1,615.90	Facility		$306.55	$886.72	$1,615.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $124.66 / $224.42	Professional		$70.20	$124.66	$224.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.80 / $155.32 / $209.77	Professional		$114.80	$155.32	$209.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,998.00 / $7,847.00	Facility		$2,840.00	$5,998.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.04 / $155.01 / $255.17	Professional		$111.04	$155.01	$255.17