Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,389.56 / $9,496.00 / $16,579.30	Facility		$5,389.56	$9,496.00	$16,579.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,389.56 / $5,476.92 / $10,103.90	Professional		$5,389.56	$5,476.92	$10,103.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,185.00 / $9,153.00 / $60,320.00	Facility		$3,185.00	$9,153.00	$60,320.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,951.81 / $4,673.93 / $7,730.07	Professional		$2,951.81	$4,673.93	$7,730.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,702.91 / $4,702.91 / $6,848.08	Facility		$4,702.91	$4,702.91	$6,848.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,470.15 / $5,071.76 / $5,071.76	Professional		$3,470.15	$5,071.76	$5,071.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,980.30 / $5,980.30 / $5,980.30	Professional		$5,980.30	$5,980.30	$5,980.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6,463.41 / $6,806.32 / $6,806.32	Professional		$6,463.41	$6,806.32	$6,806.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $348.30 / $4,205.28 / $6,468.75	Professional		$348.30	$4,205.28	$6,468.75
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 $4,254.91 / $6,158.00 / $10,406.37	Professional		$4,254.91	$6,158.00	$10,406.37