Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,171.44 / $6,251.00 / $11,581.00	Facility		$2,171.44	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,460.29 / $1,460.29 / $3,855.17	Professional		$1,460.29	$1,460.29	$3,855.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,426.00 / $19,117.00	Facility		$2,084.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,211.55 / $1,596.40 / $2,649.96	Professional		$1,211.55	$1,596.40	$2,649.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,394.72 / $1,673.66 / $2,071.53	Facility		$1,394.72	$1,673.66	$2,071.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,534.19 / $1,534.19 / $1,697.17	Professional		$1,534.19	$1,534.19	$1,697.17
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 $1,186.13 / $1,952.61 / $2,929.01	Professional		$1,186.13	$1,952.61	$2,929.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,394.72 / $1,952.61 / $2,929.01	Professional		$1,394.72	$1,952.61	$2,929.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $155.34 / $1,212.89 / $1,956.76	Professional		$155.34	$1,212.89	$1,956.76
United Facility/Professional Facility Modifier Low / Median / High Price $3,793.00 / $6,579.00 / $10,989.00	Facility		$3,793.00	$6,579.00	$10,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,341.17 / $1,886.23 / $3,118.99	Professional		$1,341.17	$1,886.23	$3,118.99