Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,126.61 / $7,155.00 / $11,627.00	Facility		$2,126.61	$7,155.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,126.61 / $2,126.61 / $4,214.22	Professional		$2,126.61	$2,126.61	$4,214.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,142.00 / $14,489.11 / $24,772.14	Facility		$4,142.00	$14,489.11	$24,772.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,483.47 / $2,083.34 / $3,438.23	Professional		$1,483.47	$2,083.34	$3,438.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,026.37 / $2,431.64 / $3,009.69	Facility		$2,026.37	$2,431.64	$3,009.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,659.23 / $2,229.01 / $2,229.01	Professional		$1,659.23	$2,229.01	$2,229.01
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 $1,692.76 / $2,836.28 / $4,336.42	Professional		$1,692.76	$2,836.28	$4,336.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,854.51 / $2,836.91 / $4,275.50	Professional		$1,854.51	$2,836.91	$4,275.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $233.74 / $1,738.43 / $2,828.59	Professional		$233.74	$1,738.43	$2,828.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,860.44 / $2,618.14 / $4,673.37	Professional		$1,860.44	$2,618.14	$4,673.37