Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,569.49 / $3,569.49 / $11,317.00	Facility		$3,569.49	$3,569.49	$11,317.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,996.68 / $3,569.49 / $4,863.00	Professional		$2,996.68	$3,569.49	$4,863.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,864.39 / $8,041.35 / $20,834.41	Facility		$6,864.39	$8,041.35	$20,834.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,662.49 / $3,670.43 / $9,503.41	Professional		$3,662.49	$3,670.43	$9,503.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,751.71 / $7,310.32 / $9,868.93	Facility		$4,751.71	$7,310.32	$9,868.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,751.71 / $6,579.29 / $15,652.86	Professional		$4,751.71	$6,579.29	$15,652.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,728.96 / $4,728.96 / $8,453.62	Facility		$4,728.96	$4,728.96	$8,453.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,452.14 / $3,452.14 / $6,041.25	Professional		$3,452.14	$3,452.14	$6,041.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,728.96 / $4,728.96 / $4,728.96	Facility		$4,728.96	$4,728.96	$4,728.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,452.14 / $4,728.96 / $4,728.96	Professional		$3,452.14	$4,728.96	$4,728.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,101.12 / $4,264.05 / $5,590.17	Professional		$3,101.12	$4,264.05	$5,590.17
United Facility/Professional Facility Modifier Low / Median / High Price $6,926.06 / $6,926.06 / $8,148.31	Facility		$6,926.06	$6,926.06	$8,148.31
United Facility/Professional Professional Modifier Low / Median / High Price $2,431.36 / $3,647.03 / $4,698.14	Professional		$2,431.36	$3,647.03	$4,698.14