Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,774.19 / $1,774.19 / $3,938.00	Facility		$1,774.19	$1,774.19	$3,938.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,400.11 / $1,774.19 / $2,301.44	Professional		$1,400.11	$1,774.19	$2,301.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,411.88 / $3,996.88 / $10,355.56	Facility		$3,411.88	$3,996.88	$10,355.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,714.90 / $1,820.41 / $4,723.58	Professional		$1,714.90	$1,820.41	$4,723.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,361.79 / $3,633.53 / $4,905.27	Facility		$2,361.79	$3,633.53	$4,905.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,361.79 / $3,270.18 / $7,780.11	Professional		$2,361.79	$3,270.18	$7,780.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,784.15 / $1,784.15 / $3,742.58	Facility		$1,784.15	$1,784.15	$3,742.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,302.43 / $1,302.43 / $2,279.25	Professional		$1,302.43	$1,302.43	$2,279.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,784.15 / $1,784.15 / $1,784.15	Facility		$1,784.15	$1,784.15	$1,784.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,302.43 / $1,784.15 / $1,784.15	Professional		$1,302.43	$1,784.15	$1,784.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,541.39 / $2,119.41 / $2,778.55	Professional		$1,541.39	$2,119.41	$2,778.55
United Facility/Professional Professional Modifier Low / Median / High Price $1,187.06 / $1,796.56 / $2,306.44	Professional		$1,187.06	$1,796.56	$2,306.44