Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,403.13 / $6,064.00 / $11,581.00	Facility		$1,403.13	$6,064.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,001.94 / $1,170.18 / $3,036.29	Professional		$1,001.94	$1,170.18	$3,036.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,315.00 / $16,655.00 / $29,882.70	Facility		$3,315.00	$16,655.00	$29,882.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $968.86 / $1,320.66 / $2,115.03	Professional		$968.86	$1,320.66	$2,115.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,052.22 / $1,350.43 / $1,793.55	Facility		$1,052.22	$1,350.43	$1,793.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,237.90 / $1,575.50 / $127,498.73	Professional		$1,237.90	$1,575.50	$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 $1,179.92 / $1,617.54 / $2,317.30	Professional		$1,179.92	$1,617.54	$2,317.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,342.78 / $1,342.78 / $1,342.78	Facility		$1,342.78	$1,342.78	$1,342.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,181.61 / $1,631.72 / $2,317.30	Professional		$1,181.61	$1,631.72	$2,317.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $835.19 / $1,415.36	Professional		$144.74	$835.19	$1,415.36
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 $968.93 / $1,464.14 / $2,412.12	Professional		$968.93	$1,464.14	$2,412.12