Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,038.25 / $1,038.25 / $2,057.00	Facility		$1,038.25	$1,038.25	$2,057.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.00 / $1,038.25 / $1,397.12	Professional		$782.00	$1,038.25	$1,397.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,996.63 / $2,338.96 / $6,060.07	Facility		$1,996.63	$2,338.96	$6,060.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $957.82 / $1,065.30 / $2,764.24	Professional		$957.82	$1,065.30	$2,764.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,355.54 / $2,126.34 / $2,870.56	Facility		$1,355.54	$2,126.34	$2,870.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,382.12 / $1,913.71 / $4,552.92	Professional		$1,382.12	$1,913.71	$4,552.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,020.64 / $1,020.64 / $2,079.28	Facility		$1,020.64	$1,020.64	$2,079.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $745.07 / $745.07 / $1,303.86	Professional		$745.07	$745.07	$1,303.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,020.64 / $1,020.64 / $1,020.64	Facility		$1,020.64	$1,020.64	$1,020.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $745.07 / $1,020.64 / $1,020.64	Professional		$745.07	$1,020.64	$1,020.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $902.01 / $1,240.27 / $1,625.99	Professional		$902.01	$1,240.27	$1,625.99
United Facility/Professional Professional Modifier Low / Median / High Price $663.01 / $1,051.33 / $1,349.73	Professional		$663.01	$1,051.33	$1,349.73