Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,523.23 / $2,523.23 / $5,630.00	Facility		$2,523.23	$2,523.23	$5,630.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,066.79 / $2,523.23 / $3,324.87	Professional		$2,066.79	$2,523.23	$3,324.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,852.37 / $5,684.35 / $14,727.63	Facility		$4,852.37	$5,684.35	$14,727.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,531.48 / $2,588.98 / $6,717.86	Professional		$2,531.48	$2,588.98	$6,717.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,358.93 / $5,167.59 / $6,976.25	Facility		$3,358.93	$5,167.59	$6,976.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,358.93 / $4,650.83 / $11,064.84	Professional		$3,358.93	$4,650.83	$11,064.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,249.00 / $3,249.00 / $5,490.96	Facility		$3,249.00	$3,249.00	$5,490.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,371.77 / $2,371.77 / $4,150.60	Professional		$2,371.77	$2,371.77	$4,150.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,249.00 / $3,249.00 / $3,249.00	Facility		$3,249.00	$3,249.00	$3,249.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,371.77 / $3,249.00 / $3,249.00	Professional		$2,371.77	$3,249.00	$3,249.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,192.16 / $3,014.23 / $3,951.65	Professional		$2,192.16	$3,014.23	$3,951.65
United Facility/Professional Professional Modifier Low / Median / High Price $1,718.70 / $2,578.06 / $3,280.21	Professional		$1,718.70	$2,578.06	$3,280.21