Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,305.52 / $5,201.00 / $11,627.00	Facility		$1,305.52	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,186.83 / $1,186.83 / $2,824.20	Professional		$1,186.83	$1,186.83	$2,824.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $4,142.00 / $19,117.00	Facility		$2,009.00	$4,142.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $780.37 / $1,217.29 / $1,963.64	Professional		$780.37	$1,217.29	$1,963.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,124.08 / $1,348.90 / $1,669.55	Facility		$1,124.08	$1,348.90	$1,669.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $912.90 / $1,236.49 / $1,236.49	Professional		$912.90	$1,236.49	$1,236.49
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 $848.57 / $1,450.06 / $2,405.53	Professional		$848.57	$1,450.06	$2,405.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $905.72 / $1,484.70 / $2,402.85	Professional		$905.72	$1,484.70	$2,402.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.92 / $980.64 / $1,611.66	Professional		$115.92	$980.64	$1,611.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $950.21 / $1,500.37 / $2,570.71	Professional		$950.21	$1,500.37	$2,570.71