Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,626.11 / $6,188.00 / $11,627.00	Facility		$1,626.11	$6,188.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,499.79 / $1,631.43 / $3,007.49	Professional		$1,499.79	$1,631.43	$3,007.49
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 $1,247.70 / $1,702.74 / $2,810.89	Professional		$1,247.70	$1,702.74	$2,810.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,555.91 / $1,867.09 / $2,310.92	Facility		$1,555.91	$1,867.09	$2,310.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,505.24 / $1,711.50 / $2,022.68	Professional		$1,505.24	$1,711.50	$2,022.68
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 $1,437.35 / $2,143.28 / $3,288.81	Professional		$1,437.35	$2,143.28	$3,288.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $1,859.53	Facility		$425.00	$600.00	$1,859.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,437.35 / $2,178.27 / $3,267.94	Professional		$1,437.35	$2,178.27	$3,267.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.86 / $1,353.15 / $2,168.15	Professional		$144.86	$1,353.15	$2,168.15
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $3,086.00 / $6,111.00	Facility		$650.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,401.38 / $1,939.58 / $3,431.04	Professional		$1,401.38	$1,939.58	$3,431.04