Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,990.71 / $7,155.00 / $14,500.00	Facility		$1,990.71	$7,155.00	$14,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,340.40 / $1,539.09 / $3,087.35	Professional		$1,340.40	$1,539.09	$3,087.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,869.00 / $14,996.00	Facility		$1,712.00	$3,869.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $941.20 / $1,293.47 / $1,953.81	Professional		$941.20	$1,293.47	$1,953.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,393.14 / $1,519.79 / $2,213.03	Facility		$1,393.14	$1,519.79	$2,213.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $892.91 / $1,638.99 / $2,532.98	Professional		$892.91	$1,638.99	$2,532.98
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 $1,490.41 / $2,086.58 / $3,044.89	Professional		$1,490.41	$2,086.58	$3,044.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,795.12 / $1,795.12 / $1,795.12	Facility		$1,795.12	$1,795.12	$1,795.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,564.93 / $2,090.44 / $3,016.86	Professional		$1,564.93	$2,090.44	$3,016.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $629.91 / $692.91 / $908.40	Professional		$629.91	$692.91	$908.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $6,557.00 / $10,989.00	Facility		$2,912.00	$6,557.00	$10,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $912.82 / $1,365.68 / $1,965.42	Professional		$912.82	$1,365.68	$1,965.42