Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.53 / $6,021.00 / $11,627.00	Facility		$1,861.53	$6,021.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,454.55 / $1,541.25 / $4,746.77	Professional		$1,454.55	$1,541.25	$4,746.77
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 $1,343.76 / $1,732.23 / $2,805.62	Professional		$1,343.76	$1,732.23	$2,805.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,711.31 / $2,491.90 / $2,491.90	Facility		$1,711.31	$2,491.90	$2,491.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,533.66 / $1,845.53 / $1,845.53	Professional		$1,533.66	$1,845.53	$1,845.53
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 $1,497.92 / $2,097.17 / $3,490.31	Professional		$1,497.92	$2,097.17	$3,490.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,568.69 / $2,240.73 / $3,490.31	Professional		$1,568.69	$2,240.73	$3,490.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $192.13 / $1,273.48 / $2,193.25	Professional		$192.13	$1,273.48	$2,193.25
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 $1,427.98 / $1,861.14 / $3,661.78	Professional		$1,427.98	$1,861.14	$3,661.78