Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,226.26 / $5,201.00 / $11,627.00	Facility		$1,226.26	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $817.81 / $958.41 / $1,889.34	Professional		$817.81	$958.41	$1,889.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $6,565.00 / $30,285.00	Facility		$2,777.00	$6,565.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $780.89 / $1,093.68 / $1,745.96	Professional		$780.89	$1,093.68	$1,745.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $863.49 / $1,108.22 / $1,471.86	Facility		$863.49	$1,108.22	$1,471.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,015.87 / $1,292.93 / $127,498.73	Professional		$1,015.87	$1,292.93	$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 $969.70 / $1,292.93 / $1,835.48	Professional		$969.70	$1,292.93	$1,835.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,101.82 / $1,101.82 / $1,101.82	Facility		$1,101.82	$1,101.82	$1,101.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $969.70 / $1,325.87 / $1,835.48	Professional		$969.70	$1,325.87	$1,835.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $685.57 / $1,170.21	Professional		$72.37	$685.57	$1,170.21
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 $778.26 / $1,217.55 / $1,972.21	Professional		$778.26	$1,217.55	$1,972.21