Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,418.18 / $5,135.00 / $10,817.74	Facility		$1,418.18	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $745.62 / $962.05 / $2,726.39	Professional		$745.62	$962.05	$2,726.39
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 $621.66 / $850.85 / $1,497.22	Professional		$621.66	$850.85	$1,497.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,135.59 / $1,392.21 / $1,994.14	Facility		$1,135.59	$1,392.21	$1,994.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $739.89 / $1,091.93 / $1,703.40	Professional		$739.89	$1,091.93	$1,703.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,075.96 / $1,469.12 / $21,571.00	Facility		$1,075.96	$1,469.12	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $789.99 / $1,139.94 / $1,870.19	Professional		$789.99	$1,139.94	$1,870.19
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 $748.02 / $1,163.04 / $1,669.00	Professional		$748.02	$1,163.04	$1,669.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.96 / $685.45 / $1,165.35	Professional		$112.96	$685.45	$1,165.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $9,245.00	Facility		$2,840.00	$5,625.00	$9,245.00
United Facility/Professional Professional Modifier Low / Median / High Price $744.81 / $955.75 / $1,922.84	Professional		$744.81	$955.75	$1,922.84