Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,108.86 / $6,251.00 / $11,581.00	Facility		$2,108.86	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,315.78 / $1,459.62 / $3,744.05	Professional		$1,315.78	$1,459.62	$3,744.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,405.00 / $16,655.00 / $29,882.70	Facility		$3,405.00	$16,655.00	$29,882.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,193.14 / $1,592.99 / $2,574.78	Professional		$1,193.14	$1,592.99	$2,574.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,297.71 / $1,665.52 / $2,212.02	Facility		$1,297.71	$1,665.52	$2,212.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,526.72 / $1,943.10 / $127,498.73	Professional		$1,526.72	$1,943.10	$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 $1,448.77 / $1,997.34 / $2,837.80	Professional		$1,448.77	$1,997.34	$2,837.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,656.40 / $1,656.40 / $1,656.40	Facility		$1,656.40	$1,656.40	$1,656.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,457.33 / $2,012.50 / $2,837.80	Professional		$1,457.33	$2,012.50	$2,837.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $1,008.46 / $1,754.06	Professional		$144.74	$1,008.46	$1,754.06
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,440.00 / $13,382.00	Facility		$4,070.00	$8,440.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,178.25 / $1,836.24 / $2,966.13	Professional		$1,178.25	$1,836.24	$2,966.13