Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,607.57 / $6,813.00 / $14,500.00	Facility		$1,607.57	$6,813.00	$14,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,081.08 / $1,082.40 / $3,267.00	Professional		$1,081.08	$1,082.40	$3,267.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,528.00 / $14,996.00	Facility		$1,760.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $799.01 / $1,161.89 / $2,049.02	Professional		$799.01	$1,161.89	$2,049.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $942.78 / $1,372.81 / $1,733.04	Facility		$942.78	$1,372.81	$1,733.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $969.41 / $1,016.72 / $1,802.37	Professional		$969.41	$1,016.72	$1,802.37
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 $866.13 / $1,293.94 / $2,075.87	Professional		$866.13	$1,293.94	$2,075.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $970.51 / $1,294.01 / $2,040.95	Professional		$970.51	$1,294.01	$2,040.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.66 / $949.55 / $1,339.69	Professional		$48.66	$949.55	$1,339.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,920.00 / $7,847.00	Facility		$2,840.00	$5,920.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $998.14 / $1,330.79 / $2,052.06	Professional		$998.14	$1,330.79	$2,052.06