Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,808.56 / $6,048.41 / $11,627.00	Facility		$1,808.56	$6,048.41	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,667.41 / $1,812.50 / $3,345.20	Professional		$1,667.41	$1,812.50	$3,345.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,644.00 / $6,446.55 / $12,695.35	Facility		$2,644.00	$6,446.55	$12,695.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,407.78 / $1,878.51 / $3,105.71	Professional		$1,407.78	$1,878.51	$3,105.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,731.20 / $2,077.44 / $2,571.28	Facility		$1,731.20	$2,077.44	$2,571.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,560.04 / $1,904.32 / $2,250.56	Professional		$1,560.04	$1,904.32	$2,250.56
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 $1,599.55 / $2,368.79 / $3,643.19	Professional		$1,599.55	$2,368.79	$3,643.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $2,068.42	Facility		$425.00	$600.00	$2,068.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,605.95 / $2,423.69 / $3,635.53	Professional		$1,605.95	$2,423.69	$3,635.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $178.54 / $1,496.87 / $2,418.53	Professional		$178.54	$1,496.87	$2,418.53
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 $1,549.48 / $2,200.90 / $3,818.23	Professional		$1,549.48	$2,200.90	$3,818.23