Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,700.66 / $6,582.00 / $11,627.00	Facility		$1,700.66	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,700.66 / $1,715.50 / $3,316.29	Professional		$1,700.66	$1,715.50	$3,316.29
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 $1,304.68 / $1,839.52 / $2,943.05	Professional		$1,304.68	$1,839.52	$2,943.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,480.40 / $1,480.40 / $2,155.67	Facility		$1,480.40	$1,480.40	$2,155.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,596.52 / $1,596.52 / $1,740.63	Professional		$1,596.52	$1,596.52	$1,740.63
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 $1,354.46 / $2,115.67 / $3,074.90	Professional		$1,354.46	$2,115.67	$3,074.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,523.95 / $2,209.21 / $3,074.90	Professional		$1,523.95	$2,209.21	$3,074.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.32 / $1,334.46 / $2,042.37	Professional		$116.32	$1,334.46	$2,042.37
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 $1,534.60 / $1,995.84 / $3,164.65	Professional		$1,534.60	$1,995.84	$3,164.65