Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,816.66 / $6,582.00 / $11,627.00	Facility		$1,816.66	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,816.66 / $1,836.82 / $4,759.64	Professional		$1,816.66	$1,836.82	$4,759.64
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 $1,390.10 / $1,962.49 / $3,263.46	Professional		$1,390.10	$1,962.49	$3,263.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,583.24 / $1,583.24 / $2,305.42	Facility		$1,583.24	$1,583.24	$2,305.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,707.42 / $1,707.42 / $2,064.36	Professional		$1,707.42	$1,707.42	$2,064.36
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 $1,483.88 / $2,369.34 / $3,441.59	Professional		$1,483.88	$2,369.34	$3,441.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,627.84 / $2,405.91 / $3,393.00	Professional		$1,627.84	$2,405.91	$3,393.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.32 / $1,420.49 / $2,179.47	Professional		$116.32	$1,420.49	$2,179.47
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 $1,688.79 / $2,151.39 / $3,367.60	Professional		$1,688.79	$2,151.39	$3,367.60