Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,123.23 / $5,201.00 / $11,627.00	Facility		$1,123.23	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $844.14 / $919.59 / $1,736.99	Professional		$844.14	$919.59	$1,736.99
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 $751.23 / $1,025.20 / $1,656.20	Professional		$751.23	$1,025.20	$1,656.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,021.98 / $1,488.14 / $1,488.14	Facility		$1,021.98	$1,488.14	$1,488.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,049.70 / $1,102.13 / $1,102.13	Professional		$1,049.70	$1,102.13	$1,102.13
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 $836.94 / $1,219.34 / $2,071.11	Professional		$836.94	$1,219.34	$2,071.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $887.36 / $1,302.52 / $2,071.11	Professional		$887.36	$1,302.52	$2,071.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.08 / $784.45 / $1,308.56	Professional		$112.08	$784.45	$1,308.56
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 $731.86 / $1,071.60 / $2,041.93	Professional		$731.86	$1,071.60	$2,041.93