Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.36 / $6,582.00 / $11,627.00	Facility		$1,047.36	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $926.25 / $1,047.36 / $1,941.17	Professional		$926.25	$1,047.36	$1,941.17
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 $809.69 / $1,163.93 / $1,860.72	Professional		$809.69	$1,163.93	$1,860.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $957.91 / $1,045.00 / $1,521.65	Facility		$957.91	$1,045.00	$1,521.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $942.88 / $1,126.95 / $1,434.30	Professional		$942.88	$1,126.95	$1,434.30
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 $1,046.30 / $1,434.30 / $1,978.99	Professional		$1,046.30	$1,434.30	$1,978.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,224.95 / $1,224.95 / $1,224.95	Facility		$1,224.95	$1,224.95	$1,224.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,075.73 / $1,434.30 / $1,978.99	Professional		$1,075.73	$1,434.30	$1,978.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $734.71 / $1,282.73	Professional		$144.74	$734.71	$1,282.73
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 $860.80 / $1,338.65 / $2,227.42	Professional		$860.80	$1,338.65	$2,227.42