Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,424.43 / $6,064.00 / $11,581.00	Facility		$1,424.43	$6,064.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $865.19 / $959.60 / $1,761.26	Professional		$865.19	$959.60	$1,761.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $919.00 / $3,287.00 / $14,996.00	Facility		$919.00	$3,287.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $729.62 / $978.55 / $1,582.93	Professional		$729.62	$978.55	$1,582.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $917.10 / $1,192.23 / $1,719.57	Facility		$917.10	$1,192.23	$1,719.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,008.81 / $1,146.38 / $1,788.35	Professional		$1,008.81	$1,146.38	$1,788.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $581.00 / $1,200.00	Facility		$425.00	$581.00	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $832.08 / $1,238.08 / $1,925.92	Professional		$832.08	$1,238.08	$1,925.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $562.00 / $1,200.00	Facility		$425.00	$562.00	$1,200.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $839.61 / $1,283.95 / $1,910.84	Professional		$839.61	$1,283.95	$1,910.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.37 / $796.55 / $1,283.32	Professional		$76.37	$796.55	$1,283.32
United Facility/Professional Facility Modifier Low / Median / High Price $925.00 / $5,209.00 / $7,778.00	Facility		$925.00	$5,209.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $822.38 / $1,139.02 / $2,023.94	Professional		$822.38	$1,139.02	$2,023.94