Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,756.92 / $8,956.00 / $11,627.00	Facility		$2,756.92	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,610.80 / $2,873.77 / $5,783.64	Professional		$2,610.80	$2,873.77	$5,783.64
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 $2,339.88 / $3,193.25 / $5,076.45	Professional		$2,339.88	$3,193.25	$5,076.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,732.29 / $2,980.68 / $4,340.29	Facility		$2,732.29	$2,980.68	$4,340.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,688.37 / $3,214.46 / $4,091.14	Professional		$2,688.37	$3,214.46	$4,091.14
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 $2,945.18 / $4,091.13 / $5,883.72	Professional		$2,945.18	$4,091.13	$5,883.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,467.87 / $3,467.87 / $3,467.87	Facility		$3,467.87	$3,467.87	$3,467.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,068.35 / $4,237.24 / $5,663.69	Professional		$3,068.35	$4,237.24	$5,663.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $340.64 / $2,316.85 / $3,785.08	Professional		$340.64	$2,316.85	$3,785.08
United Facility/Professional Facility Modifier Low / Median / High Price $4,873.00 / $10,529.00 / $15,469.00	Facility		$4,873.00	$10,529.00	$15,469.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,427.60 / $3,883.52 / $5,768.64	Professional		$2,427.60	$3,883.52	$5,768.64