Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,370.15 / $6,345.00 / $11,627.00	Facility		$1,370.15	$6,345.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.79 / $1,059.84 / $1,576.63	Professional		$907.79	$1,059.84	$1,576.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,315.00 / $29,300.94 / $53,822.78	Facility		$3,315.00	$29,300.94	$53,822.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,207.00 / $1,603.28 / $2,557.87	Professional		$1,207.00	$1,603.28	$2,557.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,059.64 / $1,059.64 / $1,246.63	Facility		$1,059.64	$1,059.64	$1,246.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,025.78 / $2,025.78 / $127,498.73	Professional		$2,025.78	$2,025.78	$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 $1,070.96 / $1,454.49 / $2,075.84	Professional		$1,070.96	$1,454.49	$2,075.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,239.46 / $1,239.46 / $1,239.46	Facility		$1,239.46	$1,239.46	$1,239.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,081.88 / $1,454.49 / $2,075.84	Professional		$1,081.88	$1,454.49	$2,075.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
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 $837.46 / $1,319.89 / $2,092.36	Professional		$837.46	$1,319.89	$2,092.36