Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,221.96 / $7,461.22 / $11,627.00	Facility		$2,221.96	$7,461.22	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,049.40 / $2,232.56 / $4,124.29	Professional		$2,049.40	$2,232.56	$4,124.29
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 $1,779.71 / $2,345.94 / $3,861.13	Professional		$1,779.71	$2,345.94	$3,861.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,123.03 / $2,547.64 / $3,153.25	Facility		$2,123.03	$2,547.64	$3,153.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,856.16 / $2,335.33 / $2,759.94	Professional		$1,856.16	$2,335.33	$2,759.94
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 $1,971.46 / $2,914.45 / $4,500.35	Professional		$1,971.46	$2,914.45	$4,500.35
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $2,540.38	Facility		$425.00	$600.00	$2,540.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,985.04 / $2,972.25 / $4,476.14	Professional		$1,985.04	$2,972.25	$4,476.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $213.31 / $1,848.69 / $2,964.53	Professional		$213.31	$1,848.69	$2,964.53
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 $1,916.02 / $2,667.28 / $4,706.00	Professional		$1,916.02	$2,667.28	$4,706.00