Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,536.53 / $5,099.00 / $11,627.00	Facility		$1,536.53	$5,099.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,343.84 / $1,536.53 / $2,838.96	Professional		$1,343.84	$1,536.53	$2,838.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $5,945.00 / $29,406.00	Facility		$1,895.00	$5,945.00	$29,406.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,086.31 / $1,628.55 / $2,608.92	Professional		$1,086.31	$1,628.55	$2,608.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,330.56 / $1,330.56 / $1,937.48	Facility		$1,330.56	$1,330.56	$1,937.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,434.92 / $1,434.92 / $1,657.84	Professional		$1,434.92	$1,434.92	$1,657.84
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 $1,214.88 / $1,965.56 / $2,761.63	Professional		$1,214.88	$1,965.56	$2,761.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,369.69 / $1,990.40 / $2,647.21	Professional		$1,369.69	$1,990.40	$2,647.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.99 / $1,198.50 / $1,829.68	Professional		$112.99	$1,198.50	$1,829.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,792.00	Facility		$1,480.00	$3,086.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,378.60 / $1,813.95 / $2,838.53	Professional		$1,378.60	$1,813.95	$2,838.53