Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,554.62 / $7,795.74 / $11,627.00	Facility		$2,554.62	$7,795.74	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,554.62 / $2,637.59 / $6,693.10	Professional		$2,554.62	$2,637.59	$6,693.10
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 $1,749.40 / $2,640.56 / $4,443.89	Professional		$1,749.40	$2,640.56	$4,443.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,224.17 / $2,224.17 / $3,238.71	Facility		$2,224.17	$2,224.17	$3,238.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,398.63 / $2,398.63 / $2,689.32	Professional		$2,398.63	$2,398.63	$2,689.32
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 $2,045.40 / $3,115.40 / $4,627.30	Professional		$2,045.40	$3,115.40	$4,627.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,286.04 / $3,197.55 / $4,573.05	Professional		$2,286.04	$3,197.55	$4,573.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.77 / $1,986.33 / $3,065.88	Professional		$183.77	$1,986.33	$3,065.88
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 $2,311.16 / $3,013.29 / $4,779.03	Professional		$2,311.16	$3,013.29	$4,779.03