Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,140.26 / $1,140.26 / $2,567.00	Facility		$1,140.26	$1,140.26	$2,567.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,017.69 / $1,140.26 / $1,651.40	Professional		$1,017.69	$1,140.26	$1,651.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,192.79 / $2,568.76 / $6,655.43	Facility		$2,192.79	$2,568.76	$6,655.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,169.95 / $1,243.47 / $3,035.81	Professional		$1,169.95	$1,243.47	$3,035.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,614.81 / $2,335.23 / $3,152.57	Facility		$1,614.81	$2,335.23	$3,152.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,517.91 / $2,101.71 / $5,000.22	Professional		$1,517.91	$2,101.71	$5,000.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,271.83 / $1,271.83 / $2,713.63	Facility		$1,271.83	$1,271.83	$2,713.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $928.44 / $928.44 / $1,624.76	Professional		$928.44	$928.44	$1,624.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,271.83 / $1,271.83 / $1,271.83	Facility		$1,271.83	$1,271.83	$1,271.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $928.44 / $1,271.83 / $1,271.83	Professional		$928.44	$1,271.83	$1,271.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,210.79 / $1,664.83 / $2,182.60	Professional		$1,210.79	$1,664.83	$2,182.60
United Facility/Professional Professional Modifier Low / Median / High Price $776.68 / $1,165.03 / $1,564.74	Professional		$776.68	$1,165.03	$1,564.74