Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,458.07 / $5,201.00 / $11,627.00	Facility		$1,458.07	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $938.09 / $1,102.39 / $2,198.10	Professional		$938.09	$1,102.39	$2,198.10
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 $918.19 / $1,271.82 / $2,083.21	Professional		$918.19	$1,271.82	$2,083.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $990.20 / $1,270.83 / $1,687.83	Facility		$990.20	$1,270.83	$1,687.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,164.93 / $1,482.64 / $127,498.73	Professional		$1,164.93	$1,482.64	$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 $1,111.98 / $1,489.05 / $2,081.67	Professional		$1,111.98	$1,489.05	$2,081.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,273.91 / $1,273.91 / $1,273.91	Facility		$1,273.91	$1,273.91	$1,273.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,111.98 / $1,535.60 / $2,227.42	Professional		$1,111.98	$1,535.60	$2,227.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.65 / $802.64 / $1,340.64	Professional		$144.65	$802.64	$1,340.64
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 $917.59 / $1,380.51 / $2,286.38	Professional		$917.59	$1,380.51	$2,286.38