Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,397.50 / $3,685.08 / $10,635.00	Facility		$1,397.50	$3,685.08	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $952.57 / $1,094.15 / $2,123.71	Professional		$952.57	$1,094.15	$2,123.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,142.00 / $19,117.00	Facility		$2,003.00	$4,142.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $902.92 / $1,259.38 / $1,965.04	Professional		$902.92	$1,259.38	$1,965.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $993.22 / $1,083.52 / $1,577.75	Facility		$993.22	$1,083.52	$1,577.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,166.26 / $1,168.50 / $1,487.18	Professional		$1,166.26	$1,168.50	$1,487.18
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 $1,065.53 / $1,488.25 / $2,090.51	Professional		$1,065.53	$1,488.25	$2,090.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,268.11 / $1,268.11 / $1,268.11	Facility		$1,268.11	$1,268.11	$1,268.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,115.39 / $1,540.30 / $2,090.07	Professional		$1,115.39	$1,540.30	$2,090.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.11 / $868.22 / $1,390.48	Professional		$104.11	$868.22	$1,390.48
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,231.00 / $10,075.00	Facility		$3,206.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $900.64 / $1,403.59 / $2,309.31	Professional		$900.64	$1,403.59	$2,309.31