Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,045.79 / $7,155.00 / $11,627.00	Facility		$2,045.79	$7,155.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,045.79 / $2,045.79 / $4,063.07	Professional		$2,045.79	$2,045.79	$4,063.07
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 $1,444.82 / $2,004.22 / $3,307.70	Professional		$1,444.82	$2,004.22	$3,307.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,948.23 / $2,337.88 / $2,893.63	Facility		$1,948.23	$2,337.88	$2,893.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,589.68 / $2,143.05 / $2,143.05	Professional		$1,589.68	$2,143.05	$2,143.05
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 $1,596.98 / $2,719.62 / $4,169.22	Professional		$1,596.98	$2,719.62	$4,169.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,785.59 / $2,727.52 / $4,122.14	Professional		$1,785.59	$2,727.52	$4,122.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $233.74 / $1,706.08 / $2,750.39	Professional		$233.74	$1,706.08	$2,750.39
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 $1,805.11 / $2,606.96 / $4,418.39	Professional		$1,805.11	$2,606.96	$4,418.39