Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,687.22 / $6,215.00 / $11,627.00	Facility		$1,687.22	$6,215.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,687.22 / $1,705.96 / $4,420.52	Professional		$1,687.22	$1,705.96	$4,420.52
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 $1,283.58 / $1,963.11 / $3,346.33	Professional		$1,283.58	$1,963.11	$3,346.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,470.61 / $1,470.61 / $2,141.41	Facility		$1,470.61	$1,470.61	$2,141.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,585.96 / $1,585.96 / $2,048.27	Professional		$1,585.96	$1,585.96	$2,048.27
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 $1,386.90 / $2,120.52 / $3,050.28	Professional		$1,386.90	$2,120.52	$3,050.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,513.86 / $2,213.13 / $3,192.07	Professional		$1,513.86	$2,213.13	$3,192.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.99 / $1,311.23 / $2,007.53	Professional		$112.99	$1,311.23	$2,007.53
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 $1,543.24 / $1,971.89 / $3,266.15	Professional		$1,543.24	$1,971.89	$3,266.15