Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,252.46 / $5,135.00 / $10,817.74	Facility		$1,252.46	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.88 / $842.27 / $2,361.91	Professional		$642.88	$842.27	$2,361.91
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 $529.05 / $684.67 / $1,292.61	Professional		$529.05	$684.67	$1,292.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $999.83 / $1,225.76 / $1,994.14	Facility		$999.83	$1,225.76	$1,994.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $580.54 / $961.38 / $1,499.75	Professional		$580.54	$961.38	$1,499.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $952.18 / $1,469.12 / $21,571.00	Facility		$952.18	$1,469.12	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $671.02 / $978.09 / $1,648.87	Professional		$671.02	$978.09	$1,648.87
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 $653.73 / $999.82 / $1,433.26	Professional		$653.73	$999.82	$1,433.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $601.12 / $1,030.82	Professional		$112.50	$601.12	$1,030.82
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 $645.86 / $847.69 / $1,800.24	Professional		$645.86	$847.69	$1,800.24