Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,592.00 / $4,921.59 / $8,100.00	Facility		$2,592.00	$4,921.59	$8,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,988.53 / $2,592.00 / $4,677.26	Professional		$1,988.53	$2,592.00	$4,677.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,860.92 / $3,499.20 / $5,733.83	Facility		$2,860.92	$3,499.20	$5,733.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,296.00 / $1,470.96 / $4,205.52	Professional		$1,296.00	$1,470.96	$4,205.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,240.00 / $4,050.00 / $4,860.00	Facility		$3,240.00	$4,050.00	$4,860.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,212.00 / $4,374.00 / $7,776.00	Professional		$4,212.00	$4,374.00	$7,776.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,333.80 / $3,685.50 / $18,490.68	Facility		$3,333.80	$3,685.50	$18,490.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,482.36 / $1,743.36 / $7,051.38	Professional		$1,482.36	$1,743.36	$7,051.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,333.80 / $3,685.50 / $18,490.68	Facility		$3,333.80	$3,685.50	$18,490.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,482.36 / $1,743.36 / $7,051.38	Professional		$1,482.36	$1,743.36	$7,051.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,430.00 / $2,916.00 / $4,009.50	Professional		$2,430.00	$2,916.00	$4,009.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,193.11 / $1,944.00 / $4,279.07	Professional		$1,193.11	$1,944.00	$4,279.07