Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,779.53 / $5,616.00 / $10,817.74	Facility		$1,779.53	$5,616.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,422.15 / $1,654.94 / $4,253.51	Professional		$1,422.15	$1,654.94	$4,253.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $7,279.00 / $30,285.00	Facility		$2,777.00	$7,279.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,391.55 / $1,893.51 / $3,102.49	Professional		$1,391.55	$1,893.51	$3,102.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,480.36 / $1,899.92 / $2,523.33	Facility		$1,480.36	$1,899.92	$2,523.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,741.60 / $2,216.58 / $127,498.73	Professional		$1,741.60	$2,216.58	$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 $1,651.62 / $2,292.79 / $3,347.15	Professional		$1,651.62	$2,292.79	$3,347.15
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,889.38 / $1,889.38 / $1,889.38	Facility		$1,889.38	$1,889.38	$1,889.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,662.44 / $2,324.41 / $3,299.90	Professional		$1,662.44	$2,324.41	$3,299.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.49 / $1,164.59 / $1,958.31	Professional		$216.49	$1,164.59	$1,958.31
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 $1,308.43 / $2,055.60 / $3,381.14	Professional		$1,308.43	$2,055.60	$3,381.14