Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $8,912.51 / $11,748.98	Facility		$2,511.89	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $2,290.87 / $3,467.37	Professional		$977.24	$2,290.87	$3,467.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $5,888.44 / $15,135.61	Facility		$1,949.84	$5,888.44	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,754.23 / $4,677.35	Professional		$2,238.72	$2,754.23	$4,677.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,511.89 / $3,801.89	Professional		$1,584.89	$2,511.89	$3,801.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,511.89 / $3,715.35	Professional		$1,778.28	$2,511.89	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $1,288.25 / $1,737.80	Professional		$33.11	$1,288.25	$1,737.80
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $3,715.35	Professional		$1,584.89	$1,862.09	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,090.30 / $6,760.83	Facility		$1,479.11	$3,090.30	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $2,951.21	Professional		$1,479.11	$1,949.84	$2,951.21