Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,018.34 / $1,018.34 / $2,554.00	Facility		$1,018.34	$1,018.34	$2,554.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $888.36 / $1,018.34 / $1,484.94	Professional		$888.36	$1,018.34	$1,484.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,958.34 / $2,294.12 / $5,943.85	Facility		$1,958.34	$2,294.12	$5,943.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,044.88 / $1,106.79 / $2,711.22	Professional		$1,044.88	$1,106.79	$2,711.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,358.75 / $2,085.56 / $2,815.51	Facility		$1,358.75	$2,085.56	$2,815.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,355.61 / $1,877.00 / $4,465.60	Professional		$1,355.61	$1,877.00	$4,465.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,349.13 / $1,349.13 / $2,380.55	Facility		$1,349.13	$1,349.13	$2,380.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $984.86 / $984.86 / $1,734.10	Professional		$984.86	$984.86	$1,734.10
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,349.13 / $1,349.13 / $1,349.13	Facility		$1,349.13	$1,349.13	$1,349.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $984.86 / $1,349.13 / $1,349.13	Professional		$984.86	$1,349.13	$1,349.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $884.73 / $1,216.51 / $1,594.84	Professional		$884.73	$1,216.51	$1,594.84
United Facility/Professional Professional Modifier Low / Median / High Price $693.64 / $1,040.46 / $1,440.69	Professional		$693.64	$1,040.46	$1,440.69