Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,520.78 / $5,135.00 / $11,627.00	Facility		$1,520.78	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,402.54 / $1,522.74 / $2,808.40	Professional		$1,402.54	$1,522.74	$2,808.40
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 $1,168.68 / $1,555.05 / $2,595.17	Professional		$1,168.68	$1,555.05	$2,595.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,455.28 / $1,746.34 / $2,161.46	Facility		$1,455.28	$1,746.34	$2,161.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,174.02 / $1,600.81 / $1,891.86	Professional		$1,174.02	$1,600.81	$1,891.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $581.00 / $1,739.15	Facility		$425.00	$581.00	$1,739.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,309.75 / $1,993.13 / $3,073.54	Professional		$1,309.75	$1,993.13	$3,073.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $562.00 / $1,739.15	Facility		$425.00	$562.00	$1,739.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,341.93 / $2,037.39 / $3,056.97	Professional		$1,341.93	$2,037.39	$3,056.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.86 / $1,264.33 / $2,045.24	Professional		$144.86	$1,264.33	$2,045.24
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 $1,295.67 / $1,773.14 / $3,184.63	Professional		$1,295.67	$1,773.14	$3,184.63