Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,465.25 / $5,135.00 / $11,627.00	Facility		$1,465.25	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,465.25 / $1,465.54 / $2,898.74	Professional		$1,465.25	$1,465.54	$2,898.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,426.00 / $19,117.00	Facility		$2,084.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,107.54 / $1,615.62 / $2,795.23	Professional		$1,107.54	$1,615.62	$2,795.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,276.72 / $1,859.07 / $2,346.90	Facility		$1,276.72	$1,859.07	$2,346.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,355.29 / $1,376.85 / $2,440.77	Professional		$1,355.29	$1,376.85	$2,440.77
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 $1,176.58 / $1,752.36 / $2,806.18	Professional		$1,176.58	$1,752.36	$2,806.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,316.27 / $1,756.72 / $2,806.18	Professional		$1,316.27	$1,756.72	$2,806.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.74 / $1,190.88 / $1,732.94	Professional		$106.74	$1,190.88	$1,732.94
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 $1,350.92 / $1,809.06 / $2,751.70	Professional		$1,350.92	$1,809.06	$2,751.70