Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,309.49 / $4,752.00 / $11,627.00	Facility		$1,309.49	$4,752.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,172.92 / $1,335.62 / $2,434.42	Professional		$1,172.92	$1,335.62	$2,434.42
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 $966.37 / $1,382.69 / $2,149.01	Professional		$966.37	$1,382.69	$2,149.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,197.05 / $1,305.88 / $1,901.53	Facility		$1,197.05	$1,305.88	$1,901.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,356.07 / $1,408.30 / $1,792.38	Professional		$1,356.07	$1,408.30	$1,792.38
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 $1,307.95 / $1,790.26 / $2,481.11	Professional		$1,307.95	$1,790.26	$2,481.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,534.81 / $1,534.81 / $1,534.81	Facility		$1,534.81	$1,534.81	$1,534.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,331.95 / $1,792.38 / $2,506.88	Professional		$1,331.95	$1,792.38	$2,506.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $936.50 / $1,600.42	Professional		$144.74	$936.50	$1,600.42
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 $1,114.33 / $1,659.25 / $2,828.89	Professional		$1,114.33	$1,659.25	$2,828.89