Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,072.00 / $11,581.00	Facility		$1,000.00	$5,072.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.52 / $735.42 / $1,346.77	Professional		$665.52	$735.42	$1,346.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.00 / $3,392.00 / $14,996.00	Facility		$1,082.00	$3,392.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $569.94 / $752.32 / $1,236.50	Professional		$569.94	$752.32	$1,236.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $702.87 / $843.44 / $1,043.95	Facility		$702.87	$843.44	$1,043.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $627.57 / $773.16 / $913.73	Professional		$627.57	$773.16	$913.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $694.00 / $2,338.44 / $3,428.85	Facility		$694.00	$2,338.44	$3,428.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $651.23 / $959.73 / $1,476.02	Professional		$651.23	$959.73	$1,476.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $694.00 / $2,338.44 / $2,554.35	Facility		$694.00	$2,338.44	$2,554.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $693.03 / $984.01 / $1,471.12	Professional		$693.03	$984.01	$1,471.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $680.81 / $1,024.52	Professional		$72.25	$680.81	$1,024.52
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 $618.91 / $867.96 / $1,531.39	Professional		$618.91	$867.96	$1,531.39