Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,442.21 / $5,667.90 / $10,268.00	Facility		$1,442.21	$5,667.90	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $552.79 / $848.13 / $1,442.21	Professional		$552.79	$848.13	$1,442.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,069.00 / $3,392.00 / $19,117.00	Facility		$1,069.00	$3,392.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $773.27 / $1,038.91 / $1,576.38	Professional		$773.27	$1,038.91	$1,576.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $823.71 / $12,355.65 / $24,093.53	Facility		$823.71	$12,355.65	$24,093.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $945.21 / $14,178.11 / $25,020.20	Professional		$945.21	$14,178.11	$25,020.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $581.00 / $1,200.00	Facility		$425.00	$581.00	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,098.10 / $1,357.79 / $4,119.12	Professional		$1,098.10	$1,357.79	$4,119.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $562.00 / $1,200.00	Facility		$425.00	$562.00	$1,200.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,098.10 / $1,389.69 / $4,119.12	Professional		$1,098.10	$1,389.69	$4,119.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $925.00 / $5,209.00 / $7,778.00	Facility		$925.00	$5,209.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $253.75 / $502.70 / $1,128.10	Professional		$253.75	$502.70	$1,128.10