Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,026.74 / $3,325.00 / $10,635.00	Facility		$1,026.74	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $522.54 / $690.48 / $1,871.68	Professional		$522.54	$690.48	$1,871.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,264.00 / $14,996.00	Facility		$1,712.00	$3,264.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.47 / $586.47 / $1,039.72	Professional		$425.47	$586.47	$1,039.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $817.69 / $1,002.45 / $1,994.14	Facility		$817.69	$1,002.45	$1,994.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $543.54 / $786.24 / $1,226.54	Professional		$543.54	$786.24	$1,226.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $782.54 / $1,469.12 / $21,571.00	Facility		$782.54	$1,469.12	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $544.52 / $792.04 / $1,346.08	Professional		$544.52	$792.04	$1,346.08
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 $525.38 / $837.53 / $1,154.21	Professional		$525.38	$837.53	$1,154.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.13 / $490.43 / $839.27	Professional		$76.13	$490.43	$839.27
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 $524.30 / $683.99 / $1,449.73	Professional		$524.30	$683.99	$1,449.73