Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,756.98 / $6,410.00 / $11,627.00	Facility		$1,756.98	$6,410.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,404.11 / $1,656.99 / $2,739.28	Professional		$1,404.11	$1,656.99	$2,739.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $7,702.00 / $30,285.00	Facility		$2,777.00	$7,702.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,331.78 / $1,817.48 / $2,997.26	Professional		$1,331.78	$1,817.48	$2,997.26
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $1,876.82 / $1,876.82 / $1,876.82	Professional		$1,876.82	$1,876.82	$1,876.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,462.36 / $1,876.82 / $2,492.66	Facility		$1,462.36	$1,876.82	$2,492.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,720.42 / $2,189.63 / $127,498.73	Professional		$1,720.42	$2,189.63	$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 $1,606.85 / $2,255.91 / $3,209.85	Professional		$1,606.85	$2,255.91	$3,209.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,865.42 / $1,865.42 / $1,865.42	Facility		$1,865.42	$1,865.42	$1,865.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,642.22 / $2,289.21 / $3,209.85	Professional		$1,642.22	$2,289.21	$3,209.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.10 / $1,139.20 / $1,956.35	Professional		$180.10	$1,139.20	$1,956.35
United Facility/Professional Facility Modifier Low / Median / High Price $4,227.00 / $8,928.00 / $14,134.00	Facility		$4,227.00	$8,928.00	$14,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,325.53 / $2,020.10 / $3,309.09	Professional		$1,325.53	$2,020.10	$3,309.09