Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,163.00 / $6,756.00 / $14,500.00	Facility		$2,163.00	$6,756.00	$14,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,547.37 / $1,791.97 / $3,578.63	Professional		$1,547.37	$1,791.97	$3,578.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,405.00 / $41,878.69 / $76,926.81	Facility		$3,405.00	$41,878.69	$76,926.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,399.44 / $1,954.97 / $3,110.41	Professional		$1,399.44	$1,954.97	$3,110.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,625.00 / $1,772.72 / $2,581.33	Facility		$1,625.00	$1,772.72	$2,581.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,819.45 / $1,911.77 / $2,433.16	Professional		$1,819.45	$1,911.77	$2,433.16
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 $1,824.87 / $2,468.19 / $3,544.33	Professional		$1,824.87	$2,468.19	$3,544.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,083.80 / $2,083.80 / $2,083.80	Facility		$2,083.80	$2,083.80	$2,083.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,824.87 / $2,520.06 / $3,544.33	Professional		$1,824.87	$2,520.06	$3,544.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.68 / $1,266.10 / $2,189.94	Professional		$216.68	$1,266.10	$2,189.94
United Facility/Professional Facility Modifier Low / Median / High Price $4,873.00 / $10,529.00 / $15,469.00	Facility		$4,873.00	$10,529.00	$15,469.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,476.98 / $2,301.79 / $3,705.67	Professional		$1,476.98	$2,301.79	$3,705.67