Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,158.00 / $8,553.00 / $11,679.00	Facility		$1,158.00	$8,553.00	$11,679.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $963.08 / $1,158.00 / $1,559.22	Professional		$963.08	$1,158.00	$1,559.22
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 $870.33 / $1,182.28 / $1,859.22	Professional		$870.33	$1,182.28	$1,859.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,049.75 / $1,169.80 / $1,417.16	Facility		$1,049.75	$1,169.80	$1,417.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,159.97 / $1,159.97 / $1,312.19	Professional		$1,159.97	$1,159.97	$1,312.19
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 $850.49 / $1,439.35 / $2,209.51	Professional		$850.49	$1,439.35	$2,209.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,324.14	Facility		$425.00	$600.00	$1,324.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $755.54 / $1,456.95 / $2,209.51	Professional		$755.54	$1,456.95	$2,209.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
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 $920.90 / $1,264.25 / $2,150.88	Professional		$920.90	$1,264.25	$2,150.88