Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,464.31 / $6,251.00 / $11,581.00	Facility		$1,464.31	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,075.47 / $1,075.47 / $2,111.44	Professional		$1,075.47	$1,075.47	$2,111.44
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 $750.56 / $1,119.27 / $1,786.62	Professional		$750.56	$1,119.27	$1,786.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,014.48 / $1,217.38 / $1,902.15	Facility		$1,014.48	$1,217.38	$1,902.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,115.93 / $1,115.93 / $1,978.23	Professional		$1,115.93	$1,115.93	$1,978.23
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 $784.38 / $1,366.91 / $2,170.98	Professional		$784.38	$1,366.91	$2,170.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $886.81 / $1,420.27 / $2,142.15	Professional		$886.81	$1,420.27	$2,142.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.80 / $857.82 / $1,419.31	Professional		$115.80	$857.82	$1,419.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,793.00 / $6,579.00 / $11,097.00	Facility		$3,793.00	$6,579.00	$11,097.00
United Facility/Professional Professional Modifier Low / Median / High Price $875.97 / $1,353.44 / $2,275.46	Professional		$875.97	$1,353.44	$2,275.46