Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,860.25 / $8,767.17 / $11,627.00	Facility		$2,860.25	$8,767.17	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,860.25 / $2,931.97 / $5,362.68	Professional		$2,860.25	$2,931.97	$5,362.68
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 $1,274.80 / $1,838.71 / $3,524.38	Professional		$1,274.80	$1,838.71	$3,524.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,495.54 / $2,495.54 / $3,633.85	Facility		$2,495.54	$2,495.54	$3,633.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,892.52 / $2,691.27 / $2,691.27	Professional		$1,892.52	$2,691.27	$2,691.27
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 $1,961.66 / $3,162.62 / $4,882.01	Professional		$1,961.66	$3,162.62	$4,882.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,299.81 / $3,246.04 / $4,839.08	Professional		$2,299.81	$3,246.04	$4,839.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.83 / $2,214.21 / $3,419.82	Professional		$190.83	$2,214.21	$3,419.82
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 $1,975.50 / $3,246.04 / $5,581.54	Professional		$1,975.50	$3,246.04	$5,581.54