Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,354.19 / $8,913.00 / $11,627.00	Facility		$3,354.19	$8,913.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,354.19 / $3,482.77 / $8,787.98	Professional		$3,354.19	$3,482.77	$8,787.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,010.00 / $36,529.00	Facility		$2,097.00	$8,010.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,848.95 / $2,889.39 / $4,609.59	Professional		$1,848.95	$2,889.39	$4,609.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,926.42 / $2,926.42 / $4,261.25	Facility		$2,926.42	$2,926.42	$4,261.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,949.59 / $3,155.93 / $3,155.93	Professional		$2,949.59	$3,155.93	$3,155.93
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 $2,408.69 / $4,016.65 / $6,411.05	Professional		$2,408.69	$4,016.65	$6,411.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,012.49 / $4,057.18 / $6,115.08	Professional		$3,012.49	$4,057.18	$6,115.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $228.79 / $2,623.59 / $4,013.25	Professional		$228.79	$2,623.59	$4,013.25
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 $3,010.82 / $3,873.19 / $6,314.57	Professional		$3,010.82	$3,873.19	$6,314.57