Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,958.19 / $6,582.00 / $11,627.00	Facility		$1,958.19	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,958.19 / $2,011.28 / $5,130.46	Professional		$1,958.19	$2,011.28	$5,130.46
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 $1,475.00 / $2,132.59 / $3,462.77	Professional		$1,475.00	$2,132.59	$3,462.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,707.29 / $1,707.29 / $2,486.04	Facility		$1,707.29	$1,707.29	$2,486.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,841.19 / $1,841.19 / $2,248.30	Professional		$1,841.19	$1,841.19	$2,248.30
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 $1,612.01 / $2,555.98 / $3,713.23	Professional		$1,612.01	$2,555.98	$3,713.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,757.30 / $2,594.40 / $3,533.65	Professional		$1,757.30	$2,594.40	$3,533.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $1,498.19 / $2,337.00	Professional		$149.16	$1,498.19	$2,337.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $3,098.00 / $6,792.00	Facility		$1,771.00	$3,098.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,763.97 / $2,291.04 / $3,598.63	Professional		$1,763.97	$2,291.04	$3,598.63