Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $998.00 / $1,732.47 / $4,863.30	Facility		$998.00	$1,732.47	$4,863.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $998.00 / $1,301.56 / $2,353.27	Professional		$998.00	$1,301.56	$2,353.27
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 $967.50 / $1,305.75 / $2,124.03	Professional		$967.50	$1,305.75	$2,124.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $925.45 / $1,009.58 / $1,470.10	Facility		$925.45	$1,009.58	$1,470.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,340.32 / $1,421.99 / $1,809.81	Professional		$1,340.32	$1,421.99	$1,809.81
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 $1,177.84 / $1,740.75 / $2,504.59	Professional		$1,177.84	$1,740.75	$2,504.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,787.12 / $1,787.12 / $1,787.12	Facility		$1,787.12	$1,787.12	$1,787.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,187.75 / $1,740.75 / $2,570.16	Professional		$1,187.75	$1,740.75	$2,570.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $925.73 / $1,613.84	Professional		$144.74	$925.73	$1,613.84
United Facility/Professional Facility Modifier Low / Median / High Price $3,793.00 / $6,557.00 / $10,989.00	Facility		$3,793.00	$6,557.00	$10,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,166.99 / $1,757.11 / $2,769.94	Professional		$1,166.99	$1,757.11	$2,769.94