Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,132.39 / $5,031.00 / $11,627.00	Facility		$1,132.39	$5,031.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,040.47 / $1,132.43 / $2,087.14	Professional		$1,040.47	$1,132.43	$2,087.14
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 $907.31 / $1,216.86 / $2,004.15	Professional		$907.31	$1,216.86	$2,004.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,085.17 / $1,302.20 / $1,611.76	Facility		$1,085.17	$1,302.20	$1,611.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,085.44 / $1,193.69 / $1,410.72	Professional		$1,085.44	$1,193.69	$1,410.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $581.00 / $1,294.96	Facility		$425.00	$581.00	$1,294.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $997.61 / $1,516.66 / $2,287.81	Professional		$997.61	$1,516.66	$2,287.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $562.00 / $1,294.96	Facility		$425.00	$562.00	$1,294.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,018.74 / $1,519.23 / $2,278.85	Professional		$1,018.74	$1,519.23	$2,278.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.28 / $1,049.39 / $1,529.60	Professional		$108.28	$1,049.39	$1,529.60
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 $993.00 / $1,397.65 / $2,404.81	Professional		$993.00	$1,397.65	$2,404.81