Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,353.12 / $5,135.00 / $11,627.00	Facility		$1,353.12	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,247.78 / $1,356.35 / $2,498.94	Professional		$1,247.78	$1,356.35	$2,498.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,802.00 / $13,734.14 / $24,478.90	Facility		$2,802.00	$13,734.14	$24,478.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,062.53 / $1,435.09 / $2,316.78	Professional		$1,062.53	$1,435.09	$2,316.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,211.69 / $1,555.12 / $1,924.79	Facility		$1,211.69	$1,555.12	$1,924.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,136.31 / $1,425.52 / $1,684.71	Professional		$1,136.31	$1,425.52	$1,684.71
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 $1,193.58 / $1,773.73 / $2,735.23	Professional		$1,193.58	$1,773.73	$2,735.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,547.29	Facility		$425.00	$600.00	$1,547.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,208.58 / $1,814.30 / $2,721.45	Professional		$1,208.58	$1,814.30	$2,721.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.20 / $1,277.55 / $1,873.94	Professional		$144.20	$1,277.55	$1,873.94
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 $1,154.08 / $1,615.75 / $2,859.74	Professional		$1,154.08	$1,615.75	$2,859.74