Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,014.25 / $4,723.00 / $11,627.00	Facility		$1,014.25	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $934.88 / $1,014.25 / $1,870.24	Professional		$934.88	$1,014.25	$1,870.24
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 $767.37 / $1,030.03 / $1,680.89	Professional		$767.37	$1,030.03	$1,680.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $971.73 / $1,166.08 / $1,443.27	Facility		$971.73	$1,166.08	$1,443.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $770.38 / $1,068.90 / $1,263.25	Professional		$770.38	$1,068.90	$1,263.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $1,159.75 / $21,571.00	Facility		$425.00	$1,159.75	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $874.95 / $1,331.96 / $2,047.24	Professional		$874.95	$1,331.96	$2,047.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,200.00	Facility		$425.00	$600.00	$1,200.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $894.55 / $1,360.43 / $2,037.21	Professional		$894.55	$1,360.43	$2,037.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.15 / $972.46 / $1,410.65	Professional		$108.15	$972.46	$1,410.65
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 $862.98 / $1,240.52 / $2,135.34	Professional		$862.98	$1,240.52	$2,135.34