Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,574.73 / $6,368.00 / $11,627.00	Facility		$1,574.73	$6,368.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,482.31 / $1,649.15 / $3,243.45	Professional		$1,482.31	$1,649.15	$3,243.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,794.51 / $17,502.61 / $31,141.30	Facility		$6,794.51	$17,502.61	$31,141.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.98 / $1,780.31 / $2,851.45	Professional		$1,288.98	$1,780.31	$2,851.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,560.64 / $1,702.51 / $2,479.09	Facility		$1,560.64	$1,702.51	$2,479.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,497.56 / $1,836.04 / $2,336.78	Professional		$1,497.56	$1,836.04	$2,336.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,684.90 / $2,336.78 / $3,315.26	Professional		$1,684.90	$2,336.78	$3,315.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,980.56 / $1,980.56 / $1,980.56	Facility		$1,980.56	$1,980.56	$1,980.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,752.59 / $2,420.23 / $3,217.93	Professional		$1,752.59	$2,420.23	$3,217.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $206.37 / $1,502.24 / $2,262.82	Professional		$206.37	$1,502.24	$2,262.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $3,098.00 / $6,111.00	Facility		$1,771.00	$3,098.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,374.45 / $2,158.13 / $3,348.03	Professional		$1,374.45	$2,158.13	$3,348.03