Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,265.80 / $5,201.00 / $11,627.00	Facility		$1,265.80	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,150.73 / $1,150.73 / $2,567.21	Professional		$1,150.73	$1,150.73	$2,567.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,437.00 / $19,117.00	Facility		$2,084.00	$4,437.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $863.27 / $1,178.10 / $2,054.94	Professional		$863.27	$1,178.10	$2,054.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,089.80 / $1,307.76 / $1,736.87	Facility		$1,089.80	$1,307.76	$1,736.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,198.78 / $1,198.78 / $2,125.11	Professional		$1,198.78	$1,198.78	$2,125.11
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 $928.41 / $1,523.98 / $2,317.15	Professional		$928.41	$1,523.98	$2,317.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $979.90 / $1,525.71 / $2,280.48	Professional		$979.90	$1,525.71	$2,280.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.62 / $932.81 / $1,524.11	Professional		$115.62	$932.81	$1,524.11
United Facility/Professional Facility Modifier Low / Median / High Price $3,879.00 / $5,726.00 / $9,483.00	Facility		$3,879.00	$5,726.00	$9,483.00
United Facility/Professional Professional Modifier Low / Median / High Price $984.29 / $1,438.66 / $2,379.61	Professional		$984.29	$1,438.66	$2,379.61