Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,263.03 / $4,723.00 / $11,627.00	Facility		$1,263.03	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,097.71 / $1,263.03 / $2,070.50	Professional		$1,097.71	$1,263.03	$2,070.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,644.00 / $6,459.78 / $12,695.35	Facility		$2,644.00	$6,459.78	$12,695.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $911.73 / $1,244.25 / $2,018.81	Professional		$911.73	$1,244.25	$2,018.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,211.02 / $1,453.22 / $1,798.68	Facility		$1,211.02	$1,453.22	$1,798.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $944.49 / $1,332.12 / $1,574.33	Professional		$944.49	$1,332.12	$1,574.33
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 $1,084.36 / $1,628.16 / $2,543.14	Professional		$1,084.36	$1,628.16	$2,543.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,443.76	Facility		$425.00	$600.00	$1,443.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,110.32 / $1,670.77 / $2,422.04	Professional		$1,110.32	$1,670.77	$2,422.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.40 / $1,038.93 / $1,676.04	Professional		$112.40	$1,038.93	$1,676.04
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 $1,056.09 / $1,494.36 / $2,650.40	Professional		$1,056.09	$1,494.36	$2,650.40