Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,555.29 / $5,135.00 / $11,627.00	Facility		$1,555.29	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,555.29 / $1,555.32 / $3,149.13	Professional		$1,555.29	$1,555.32	$3,149.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,638.88 / $7,944.89 / $15,216.00	Facility		$3,638.88	$7,944.89	$15,216.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $945.34 / $1,435.02 / $2,324.54	Professional		$945.34	$1,435.02	$2,324.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,355.30 / $1,973.51 / $2,491.37	Facility		$1,355.30	$1,973.51	$2,491.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,461.60 / $1,462.83 / $2,591.03	Professional		$1,461.60	$1,462.83	$2,591.03
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 $1,193.84 / $1,860.22 / $2,911.73	Professional		$1,193.84	$1,860.22	$2,911.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,395.16 / $1,871.16 / $2,911.73	Professional		$1,395.16	$1,871.16	$2,911.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.98 / $1,289.94 / $1,862.08	Professional		$111.98	$1,289.94	$1,862.08
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 $1,398.84 / $1,883.75 / $2,714.92	Professional		$1,398.84	$1,883.75	$2,714.92