Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,068.41 / $6,414.79 / $11,627.00	Facility		$2,068.41	$6,414.79	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.09 / $1,928.30 / $4,926.57	Professional		$1,659.09	$1,928.30	$4,926.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,142.00 / $14,428.74 / $24,745.60	Facility		$4,142.00	$14,428.74	$24,745.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,685.66 / $2,363.21 / $3,643.50	Professional		$1,685.66	$2,363.21	$3,643.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,708.85 / $1,864.20 / $2,714.53	Facility		$1,708.85	$1,864.20	$2,714.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,010.42 / $2,010.42 / $2,558.71	Professional		$2,010.42	$2,010.42	$2,558.71
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 $1,899.04 / $2,686.64 / $3,957.25	Professional		$1,899.04	$2,686.64	$3,957.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,204.04 / $2,204.04 / $2,204.04	Facility		$2,204.04	$2,204.04	$2,204.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,919.03 / $2,805.44 / $3,830.90	Professional		$1,919.03	$2,805.44	$3,830.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $181.10 / $1,367.54 / $2,315.69	Professional		$181.10	$1,367.54	$2,315.69
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 $1,611.20 / $2,442.82 / $3,918.74	Professional		$1,611.20	$2,442.82	$3,918.74