Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,770.47 / $3,370.98 / $5,453.06	Facility		$1,770.47	$3,370.98	$5,453.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,203.93 / $1,239.33 / $1,469.50	Professional		$1,203.93	$1,239.33	$1,469.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.22 / $38.51 / $96.81	Professional		$28.22	$38.51	$96.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,770.48 / $5,178.64 / $45,499.55	Facility		$1,770.48	$5,178.64	$45,499.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,850.65 / $4,249.14 / $41,639.69	Professional		$1,850.65	$4,249.14	$41,639.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,013.92 / $2,232.57 / $11,936.32	Facility		$2,013.92	$2,232.57	$11,936.32
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,013.92 / $2,232.57 / $11,936.32	Facility		$2,013.92	$2,232.57	$11,936.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,124.58 / $2,124.58 / $2,124.58	Facility		$2,124.58	$2,124.58	$2,124.58
United Facility/Professional Professional Modifier Low / Median / High Price $743.60 / $1,062.29 / $2,338.27	Professional		$743.60	$1,062.29	$2,338.27