Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,147.75 / $4,723.00 / $11,627.00	Facility		$1,147.75	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,054.94 / $1,147.75 / $1,874.13	Professional		$1,054.94	$1,147.75	$1,874.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,785.00 / $8,239.18 / $15,310.83	Facility		$2,785.00	$8,239.18	$15,310.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $863.93 / $1,153.59 / $1,874.32	Professional		$863.93	$1,153.59	$1,874.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,110.61 / $1,332.74 / $1,649.57	Facility		$1,110.61	$1,332.74	$1,649.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $871.62 / $1,221.68 / $1,443.81	Professional		$871.62	$1,221.68	$1,443.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $1,200.00 / $21,571.00	Facility		$425.00	$1,200.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $994.11 / $1,499.34 / $2,332.31	Professional		$994.11	$1,499.34	$2,332.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,325.54	Facility		$425.00	$600.00	$1,325.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,023.67 / $1,554.87 / $2,324.67	Professional		$1,023.67	$1,554.87	$2,324.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $153.08 / $901.40 / $1,498.03	Professional		$153.08	$901.40	$1,498.03
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $2,883.00 / $6,111.00	Facility		$650.00	$2,883.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $929.27 / $1,329.22 / $2,379.73	Professional		$929.27	$1,329.22	$2,379.73