Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,938.89 / $6,075.00 / $11,627.00	Facility		$1,938.89	$6,075.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.22 / $1,526.70 / $3,345.12	Professional		$1,318.22	$1,526.70	$3,345.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,287.00 / $7,946.96 / $14,996.00	Facility		$3,287.00	$7,946.96	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,245.07 / $1,659.46 / $2,697.05	Professional		$1,245.07	$1,659.46	$2,697.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,369.58 / $1,757.75 / $2,334.51	Facility		$1,369.58	$1,757.75	$2,334.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,611.27 / $2,050.71 / $127,498.73	Professional		$1,611.27	$2,050.71	$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 $1,529.29 / $2,080.94 / $3,001.08	Professional		$1,529.29	$2,080.94	$3,001.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,747.00 / $1,747.00 / $1,747.00	Facility		$1,747.00	$1,747.00	$1,747.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,538.03 / $2,123.94 / $3,001.08	Professional		$1,538.03	$2,123.94	$3,001.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $1,072.96 / $1,838.65	Professional		$144.74	$1,072.96	$1,838.65
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 $1,269.74 / $1,889.14 / $3,073.36	Professional		$1,269.74	$1,889.14	$3,073.36