Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,038.04 / $1,038.04 / $2,254.00	Facility		$1,038.04	$1,038.04	$2,254.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $856.84 / $1,038.04 / $1,401.61	Professional		$856.84	$1,038.04	$1,401.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,996.22 / $2,338.48 / $6,058.82	Facility		$1,996.22	$2,338.48	$6,058.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,049.50 / $1,065.08 / $2,763.67	Professional		$1,049.50	$1,065.08	$2,763.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,381.84 / $2,125.90 / $2,869.97	Facility		$1,381.84	$2,125.90	$2,869.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,381.84 / $1,913.31 / $4,551.97	Professional		$1,381.84	$1,913.31	$4,551.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,375.24 / $1,375.24 / $2,292.34	Facility		$1,375.24	$1,375.24	$2,292.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,003.93 / $1,003.93 / $1,756.87	Professional		$1,003.93	$1,003.93	$1,756.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,375.24 / $1,375.24 / $1,375.24	Facility		$1,375.24	$1,375.24	$1,375.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,003.93 / $1,375.24 / $1,375.24	Professional		$1,003.93	$1,375.24	$1,375.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,102.23 / $1,515.56 / $1,986.91	Professional		$1,102.23	$1,515.56	$1,986.91
United Facility/Professional Professional Modifier Low / Median / High Price $707.06 / $1,060.58 / $1,349.45	Professional		$707.06	$1,060.58	$1,349.45