Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,184.80 / $4,803.00 / $11,627.00	Facility		$1,184.80	$4,803.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,184.80 / $1,184.80 / $3,104.18	Professional		$1,184.80	$1,184.80	$3,104.18
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 $999.24 / $1,398.85 / $2,295.65	Professional		$999.24	$1,398.85	$2,295.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,132.22 / $1,358.66 / $1,681.64	Facility		$1,132.22	$1,358.66	$1,681.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,245.44 / $1,245.44 / $1,346.10	Professional		$1,245.44	$1,245.44	$1,346.10
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 $1,135.05 / $1,655.01 / $2,415.10	Professional		$1,135.05	$1,655.01	$2,415.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,188.83 / $1,707.50 / $2,335.84	Professional		$1,188.83	$1,707.50	$2,335.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.34 / $970.33 / $1,570.07	Professional		$118.34	$970.33	$1,570.07
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 $1,047.83 / $1,482.42 / $2,579.85	Professional		$1,047.83	$1,482.42	$2,579.85