Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $5,201.00 / $11,627.00	Facility		$1,165.00	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.14 / $825.07 / $2,085.36	Professional		$690.14	$825.07	$2,085.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.12 / $963.88 / $1,622.52	Professional		$691.12	$963.88	$1,622.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $719.54 / $784.96 / $1,143.01	Facility		$719.54	$784.96	$1,143.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $716.09 / $846.53 / $1,077.40	Professional		$716.09	$846.53	$1,077.40
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 $801.03 / $1,077.40 / $1,574.42	Professional		$801.03	$1,077.40	$1,574.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $941.74 / $941.74 / $941.74	Facility		$941.74	$941.74	$941.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $801.03 / $1,100.39 / $1,633.74	Professional		$801.03	$1,100.39	$1,633.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.36 / $554.08 / $960.73	Professional		$107.36	$554.08	$960.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $651.60 / $976.60 / $1,496.55	Professional		$651.60	$976.60	$1,496.55