Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,469.43 / $5,201.00 / $11,627.00	Facility		$1,469.43	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $995.22 / $1,148.93 / $2,274.71	Professional		$995.22	$1,148.93	$2,274.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $6,934.00 / $30,285.00	Facility		$2,777.00	$6,934.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,120.47 / $1,441.18 / $2,332.59	Professional		$1,120.47	$1,441.18	$2,332.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,036.54 / $1,330.32 / $1,766.84	Facility		$1,036.54	$1,330.32	$1,766.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,219.46 / $1,552.04 / $127,498.73	Professional		$1,219.46	$1,552.04	$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 $1,162.15 / $1,629.64 / $2,360.26	Professional		$1,162.15	$1,629.64	$2,360.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,322.60 / $1,322.60 / $1,322.60	Facility		$1,322.60	$1,322.60	$1,322.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,164.03 / $1,659.95 / $2,376.89	Professional		$1,164.03	$1,659.95	$2,376.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.15 / $803.99 / $1,366.55	Professional		$108.15	$803.99	$1,366.55
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,448.00 / $13,676.00	Facility		$4,070.00	$8,448.00	$13,676.00
United Facility/Professional Professional Modifier Low / Median / High Price $973.26 / $1,474.81 / $2,354.03	Professional		$973.26	$1,474.81	$2,354.03