Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,448.90 / $4,197.00 / $10,268.00	Facility		$1,448.90	$4,197.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.46 / $984.10 / $1,684.64	Professional		$933.46	$984.10	$1,684.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $612.85 / $771.21 / $1,369.90	Professional		$612.85	$771.21	$1,369.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,076.17 / $1,681.52 / $13,047.64	Facility		$1,076.17	$1,681.52	$13,047.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,057.39 / $2,057.39 / $2,057.39	Professional		$2,057.39	$2,057.39	$2,057.39
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 $942.08 / $1,318.92 / $2,203.54	Professional		$942.08	$1,318.92	$2,203.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $964.78 / $1,415.10 / $2,203.54	Professional		$964.78	$1,415.10	$2,203.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,551.00 / $5,235.00	Facility		$1,689.00	$2,551.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $878.60 / $1,171.47 / $1,979.51	Professional		$878.60	$1,171.47	$1,979.51