Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,944.51 / $6,251.00 / $11,581.00	Facility		$1,944.51	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,062.67 / $1,307.67 / $3,928.96	Professional		$1,062.67	$1,307.67	$3,928.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,967.00 / $14,996.00	Facility		$1,760.00	$3,967.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $905.30 / $1,235.48 / $2,180.32	Professional		$905.30	$1,235.48	$2,180.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,561.38 / $1,914.20 / $2,342.07	Facility		$1,561.38	$1,914.20	$2,342.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,154.79 / $1,501.33 / $2,342.07	Professional		$1,154.79	$1,501.33	$2,342.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,467.79 / $1,469.12 / $21,571.00	Facility		$1,467.79	$1,469.12	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,092.76 / $1,592.94 / $2,590.10	Professional		$1,092.76	$1,592.94	$2,590.10
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,469.12 / $1,469.12 / $1,638.24	Facility		$1,469.12	$1,469.12	$1,638.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,057.02 / $1,626.23 / $2,332.48	Professional		$1,057.02	$1,626.23	$2,332.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.74 / $925.79 / $1,593.09	Professional		$152.74	$925.79	$1,593.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $5,460.00 / $7,847.00	Facility		$2,155.00	$5,460.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,079.26 / $1,339.32 / $2,712.18	Professional		$1,079.26	$1,339.32	$2,712.18