Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,277.46 / $8,434.43 / $11,627.00	Facility		$2,277.46	$8,434.43	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,144.89 / $2,368.59 / $4,340.47	Professional		$2,144.89	$2,368.59	$4,340.47
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 $1,763.56 / $2,448.23 / $4,024.13	Professional		$1,763.56	$2,448.23	$4,024.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,256.94 / $2,462.11 / $3,585.16	Facility		$2,256.94	$2,462.11	$3,585.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,090.98 / $2,655.21 / $3,379.36	Professional		$2,090.98	$2,655.21	$3,379.36
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 $2,413.83 / $3,345.29 / $4,829.66	Professional		$2,413.83	$3,345.29	$4,829.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,864.64 / $2,864.64 / $2,864.64	Facility		$2,864.64	$2,864.64	$2,864.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,489.63 / $3,394.32 / $4,653.93	Professional		$2,489.63	$3,394.32	$4,653.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $299.26 / $1,919.79 / $3,123.08	Professional		$299.26	$1,919.79	$3,123.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,009.15 / $3,125.45 / $4,871.13	Professional		$2,009.15	$3,125.45	$4,871.13