Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,690.71 / $6,251.00 / $11,581.00	Facility		$1,690.71	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,247.82 / $1,247.82 / $3,279.20	Professional		$1,247.82	$1,247.82	$3,279.20
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 $976.77 / $1,308.96 / $2,212.64	Professional		$976.77	$1,308.96	$2,212.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,186.41 / $1,423.69 / $1,762.12	Facility		$1,186.41	$1,423.69	$1,762.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,090.20 / $1,305.05 / $1,305.05	Professional		$1,090.20	$1,305.05	$1,305.05
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 $1,008.88 / $1,651.56 / $2,509.82	Professional		$1,008.88	$1,651.56	$2,509.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,064.26 / $1,660.98 / $2,494.54	Professional		$1,064.26	$1,660.98	$2,494.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.80 / $1,049.30 / $1,708.16	Professional		$115.80	$1,049.30	$1,708.16
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,578.00 / $10,075.00	Facility		$3,206.00	$6,578.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,072.52 / $1,570.76 / $2,681.93	Professional		$1,072.52	$1,570.76	$2,681.93