Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,205.58 / $5,201.00 / $11,627.00	Facility		$1,205.58	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $803.49 / $934.93 / $1,858.59	Professional		$803.49	$934.93	$1,858.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $4,421.00 / $14,996.00	Facility		$1,760.00	$4,421.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $927.30 / $1,252.95 / $2,047.71	Professional		$927.30	$1,252.95	$2,047.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $849.61 / $1,090.40 / $1,448.19	Facility		$849.61	$1,090.40	$1,448.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $999.54 / $1,272.14 / $127,498.73	Professional		$999.54	$1,272.14	$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 $946.41 / $1,272.13 / $1,878.18	Professional		$946.41	$1,272.13	$1,878.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,083.97 / $1,083.97 / $1,083.97	Facility		$1,083.97	$1,083.97	$1,083.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $954.10 / $1,272.13 / $1,945.71	Professional		$954.10	$1,272.13	$1,945.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $667.56 / $1,159.66	Professional		$72.37	$667.56	$1,159.66
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,231.00 / $10,075.00	Facility		$3,206.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $795.99 / $1,229.83 / $1,958.17	Professional		$795.99	$1,229.83	$1,958.17