Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.49 / $8,956.00 / $11,627.00	Facility		$2,818.49	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,580.67 / $2,818.49 / $5,223.47	Professional		$2,580.67	$2,818.49	$5,223.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,802.00 / $13,811.09 / $24,478.90	Facility		$2,802.00	$13,811.09	$24,478.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,211.26 / $2,970.90 / $4,913.93	Professional		$2,211.26	$2,970.90	$4,913.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,690.63 / $3,228.76 / $3,996.29	Facility		$2,690.63	$3,228.76	$3,996.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,154.66 / $2,959.69 / $3,497.82	Professional		$2,154.66	$2,959.69	$3,497.82
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 $2,253.85 / $3,730.35 / $5,689.41	Professional		$2,253.85	$3,730.35	$5,689.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $3,227.34	Facility		$425.00	$600.00	$3,227.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,444.73 / $3,766.88 / $5,689.41	Professional		$2,444.73	$3,766.88	$5,689.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $290.00 / $2,668.32 / $3,862.05	Professional		$290.00	$2,668.32	$3,862.05
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $3,086.00 / $6,111.00	Facility		$650.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,352.16 / $3,382.94 / $5,949.49	Professional		$2,352.16	$3,382.94	$5,949.49