Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,592.73 / $7,342.00 / $12,492.00	Facility		$1,592.73	$7,342.00	$12,492.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,173.21 / $1,321.15 / $3,229.92	Professional		$1,173.21	$1,321.15	$3,229.92
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 $1,086.27 / $1,664.74 / $2,984.24	Professional		$1,086.27	$1,664.74	$2,984.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,194.90 / $1,303.52 / $1,898.11	Facility		$1,194.90	$1,303.52	$1,898.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,323.96 / $1,405.77 / $1,789.16	Professional		$1,323.96	$1,405.77	$1,789.16
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 $1,307.82 / $1,798.76 / $2,623.04	Professional		$1,307.82	$1,798.76	$2,623.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,531.60 / $1,531.60 / $1,531.60	Facility		$1,531.60	$1,531.60	$1,531.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,341.87 / $1,895.06 / $2,558.26	Professional		$1,341.87	$1,895.06	$2,558.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.65 / $940.53 / $1,596.90	Professional		$144.65	$940.53	$1,596.90
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 $1,082.38 / $1,694.47 / $2,720.28	Professional		$1,082.38	$1,694.47	$2,720.28