Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,081.48 / $6,485.00 / $11,627.00	Facility		$2,081.48	$6,485.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,081.48 / $2,142.13 / $5,453.48	Professional		$2,081.48	$2,142.13	$5,453.48
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 $1,613.35 / $2,313.91 / $3,967.14	Professional		$1,613.35	$2,313.91	$3,967.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,813.57 / $1,813.57 / $2,640.81	Facility		$1,813.57	$1,813.57	$2,640.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,955.81 / $1,955.81 / $2,473.61	Professional		$1,955.81	$1,955.81	$2,473.61
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 $1,689.97 / $2,602.21 / $3,802.41	Professional		$1,689.97	$2,602.21	$3,802.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,866.91 / $2,718.97 / $3,802.41	Professional		$1,866.91	$2,718.97	$3,802.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $1,615.02 / $2,471.58	Professional		$149.16	$1,615.02	$2,471.58
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 $1,919.89 / $2,507.81 / $3,876.87	Professional		$1,919.89	$2,507.81	$3,876.87