Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,637.28 / $4,590.00 / $10,268.00	Facility		$1,637.28	$4,590.00	$10,268.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $550.53 / $818.64 / $2,132.29	Facility	52	$550.53	$818.64	$2,132.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,062.39 / $1,241.21 / $2,169.08	Professional		$1,062.39	$1,241.21	$2,169.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,028.44 / $1,408.56 / $2,413.19	Professional		$1,028.44	$1,408.56	$2,413.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,216.36 / $1,771.21 / $1,771.21	Facility		$1,216.36	$1,771.21	$1,771.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,151.70 / $1,311.77 / $1,311.77	Professional		$1,151.70	$1,311.77	$1,311.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,114.73 / $1,598.26 / $2,507.23	Professional		$1,114.73	$1,598.26	$2,507.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,120.97 / $1,753.01 / $2,436.46	Professional		$1,120.97	$1,753.01	$2,436.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.78 / $927.78 / $1,549.43	Professional		$151.78	$927.78	$1,549.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,513.00 / $7,847.00	Facility		$2,840.00	$5,513.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,080.66 / $1,431.01 / $2,655.67	Professional		$1,080.66	$1,431.01	$2,655.67