Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,366.20 / $6,582.00 / $11,627.00	Facility		$1,366.20	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,341.53 / $1,384.40 / $3,579.44	Professional		$1,341.53	$1,384.40	$3,579.44
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 $1,001.68 / $1,414.14 / $2,351.59	Professional		$1,001.68	$1,414.14	$2,351.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,192.78 / $1,192.78 / $1,736.85	Facility		$1,192.78	$1,192.78	$1,736.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,286.33 / $1,286.33 / $1,478.82	Professional		$1,286.33	$1,286.33	$1,478.82
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 $1,133.42 / $1,782.49 / $2,588.26	Professional		$1,133.42	$1,782.49	$2,588.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,220.89 / $1,812.56 / $2,651.09	Professional		$1,220.89	$1,812.56	$2,651.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.13 / $1,067.15 / $1,639.96	Professional		$76.13	$1,067.15	$1,639.96
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 $1,228.08 / $1,578.68 / $2,525.73	Professional		$1,228.08	$1,578.68	$2,525.73