Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,457.32 / $8,225.10 / $11,627.00	Facility		$2,457.32	$8,225.10	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,263.67 / $2,460.48 / $4,545.01	Professional		$2,263.67	$2,460.48	$4,545.01
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 $1,830.90 / $2,498.64 / $4,139.29	Professional		$1,830.90	$2,498.64	$4,139.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,352.05 / $2,822.46 / $3,493.41	Facility		$2,352.05	$2,822.46	$3,493.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,119.02 / $2,587.26 / $3,057.67	Professional		$2,119.02	$2,587.26	$3,057.67
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 $2,143.21 / $3,218.04 / $4,971.41	Professional		$2,143.21	$3,218.04	$4,971.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $2,810.59	Facility		$425.00	$600.00	$2,810.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,175.64 / $3,292.87 / $4,945.35	Professional		$2,175.64	$3,292.87	$4,945.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $252.55 / $2,333.83 / $3,379.49	Professional		$252.55	$2,333.83	$3,379.49
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 $2,084.94 / $2,943.52 / $5,241.71	Professional		$2,084.94	$2,943.52	$5,241.71