Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,575.25 / $7,044.00 / $11,561.00	Facility		$1,575.25	$7,044.00	$11,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $921.79 / $1,095.02 / $2,033.95	Professional		$921.79	$1,095.02	$2,033.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,782.00 / $6,934.00 / $30,285.00	Facility		$2,782.00	$6,934.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $889.41 / $1,266.03 / $2,001.47	Professional		$889.41	$1,266.03	$2,001.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $969.24 / $1,243.94 / $1,652.12	Facility		$969.24	$1,243.94	$1,652.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,140.28 / $1,451.27 / $127,498.73	Professional		$1,140.28	$1,451.27	$127,498.73
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 $1,087.65 / $1,503.09 / $2,153.51	Professional		$1,087.65	$1,503.09	$2,153.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,236.73 / $1,236.73 / $1,236.73	Facility		$1,236.73	$1,236.73	$1,236.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,088.45 / $1,507.28 / $2,153.84	Professional		$1,088.45	$1,507.28	$2,153.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.28 / $762.14 / $1,290.58	Professional		$108.28	$762.14	$1,290.58
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,440.00 / $13,382.00	Facility		$4,070.00	$8,440.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $860.42 / $1,338.01 / $2,197.38	Professional		$860.42	$1,338.01	$2,197.38