Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,866.84 / $2,866.84 / $6,253.00	Facility		$2,866.84	$2,866.84	$6,253.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,305.29 / $2,866.84 / $3,951.92	Professional		$2,305.29	$2,866.84	$3,951.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,513.14 / $6,458.42 / $16,733.18	Facility		$5,513.14	$6,458.42	$16,733.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,823.59 / $2,941.54 / $7,632.67	Professional		$2,823.59	$2,941.54	$7,632.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,816.34 / $5,871.29 / $7,926.24	Facility		$3,816.34	$5,871.29	$7,926.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,816.34 / $5,284.16 / $12,571.61	Professional		$3,816.34	$5,284.16	$12,571.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,798.08 / $3,798.08 / $6,094.62	Facility		$3,798.08	$3,798.08	$6,094.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,772.60 / $2,772.60 / $4,852.05	Professional		$2,772.60	$2,772.60	$4,852.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,798.08 / $3,798.08 / $3,798.08	Facility		$3,798.08	$3,798.08	$3,798.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,772.60 / $3,798.08 / $3,798.08	Professional		$2,772.60	$3,798.08	$3,798.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,490.68 / $3,424.69 / $4,489.77	Professional		$2,490.68	$3,424.69	$4,489.77
United Facility/Professional Professional Modifier Low / Median / High Price $1,952.75 / $2,929.12 / $3,726.89	Professional		$1,952.75	$2,929.12	$3,726.89