Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.23 / $4,763.00 / $11,627.00	Facility		$1,348.23	$4,763.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,241.41 / $1,354.63 / $2,495.05	Professional		$1,241.41	$1,354.63	$2,495.05
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 $1,017.99 / $1,377.84 / $2,257.19	Professional		$1,017.99	$1,377.84	$2,257.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,289.83 / $1,547.80 / $1,915.73	Facility		$1,289.83	$1,547.80	$1,915.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,063.49 / $1,418.81 / $1,676.78	Professional		$1,063.49	$1,418.81	$1,676.78
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 $1,189.41 / $1,760.66 / $2,708.64	Professional		$1,189.41	$1,760.66	$2,708.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,541.29	Facility		$425.00	$600.00	$1,541.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,189.41 / $1,805.76 / $2,706.86	Professional		$1,189.41	$1,805.76	$2,706.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.20 / $1,290.26 / $1,872.76	Professional		$144.20	$1,290.26	$1,872.76
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 $1,150.79 / $1,591.91 / $2,854.68	Professional		$1,150.79	$1,591.91	$2,854.68