Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,182.44 / $5,217.00 / $11,627.00	Facility		$1,182.44	$5,217.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,019.00 / $1,182.44 / $2,143.04	Professional		$1,019.00	$1,182.44	$2,143.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $7,086.00 / $30,285.00	Facility		$2,777.00	$7,086.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $820.94 / $1,222.47 / $1,923.89	Professional		$820.94	$1,222.47	$1,923.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,078.32 / $1,383.94 / $1,838.04	Facility		$1,078.32	$1,383.94	$1,838.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,268.60 / $1,614.59 / $127,498.73	Professional		$1,268.60	$1,614.59	$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 $1,149.53 / $1,542.23 / $2,199.21	Professional		$1,149.53	$1,542.23	$2,199.21
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,379.44 / $1,379.44 / $1,379.44	Facility		$1,379.44	$1,379.44	$1,379.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,178.01 / $1,556.92 / $2,222.98	Professional		$1,178.01	$1,556.92	$2,222.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $835.44 / $1,427.02	Professional		$144.74	$835.44	$1,427.02
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 $918.95 / $1,416.69 / $2,361.37	Professional		$918.95	$1,416.69	$2,361.37