Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,498.99 / $5,201.00 / $11,627.00	Facility		$1,498.99	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $992.90 / $1,164.26 / $2,286.56	Professional		$992.90	$1,164.26	$2,286.56
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 $937.59 / $1,290.56 / $2,088.94	Professional		$937.59	$1,290.56	$2,088.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,032.28 / $1,126.13 / $1,639.80	Facility		$1,032.28	$1,126.13	$1,639.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,111.38 / $1,214.46 / $1,545.67	Professional		$1,111.38	$1,214.46	$1,545.67
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 $1,155.86 / $1,545.67 / $2,235.60	Professional		$1,155.86	$1,545.67	$2,235.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,330.96 / $1,330.96 / $1,330.96	Facility		$1,330.96	$1,330.96	$1,330.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,155.86 / $1,566.02 / $2,255.39	Professional		$1,155.86	$1,566.02	$2,255.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.98 / $820.43 / $1,394.18	Professional		$107.98	$820.43	$1,394.18
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 $960.56 / $1,430.16 / $2,345.26	Professional		$960.56	$1,430.16	$2,345.26