Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,685.12 / $2,715.57 / $7,776.08	Facility		$1,685.12	$2,715.57	$7,776.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,685.12 / $2,037.80 / $3,728.06	Professional		$1,685.12	$2,037.80	$3,728.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,426.00 / $19,117.00	Facility		$2,003.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,748.59 / $2,393.52 / $3,785.00	Professional		$1,748.59	$2,393.52	$3,785.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,559.24 / $2,476.88 / $3,126.83	Facility		$1,559.24	$2,476.88	$3,126.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,220.78 / $2,826.45 / $127,498.73	Professional		$2,220.78	$2,826.45	$127,498.73
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 $1,896.95 / $2,800.79 / $4,141.37	Professional		$1,896.95	$2,800.79	$4,141.37
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,013.24 / $3,013.24 / $3,013.24	Facility		$3,013.24	$3,013.24	$3,013.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,896.95 / $2,815.74 / $4,141.37	Professional		$1,896.95	$2,815.74	$4,141.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $217.67 / $1,479.65 / $2,530.82	Professional		$217.67	$1,479.65	$2,530.82
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,231.00 / $10,075.00	Facility		$3,206.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,618.67 / $2,753.21 / $4,108.56	Professional		$1,618.67	$2,753.21	$4,108.56