Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,661.92 / $5,135.00 / $11,627.00	Facility		$1,661.92	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,661.92 / $1,661.92 / $3,282.07	Professional		$1,661.92	$1,661.92	$3,282.07
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 $1,349.17 / $1,829.60 / $3,167.37	Professional		$1,349.17	$1,829.60	$3,167.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,446.56 / $2,106.39 / $2,659.13	Facility		$1,446.56	$2,106.39	$2,659.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,560.02 / $1,651.00 / $2,765.49	Professional		$1,560.02	$1,651.00	$2,765.49
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 $1,333.11 / $1,985.48 / $3,179.77	Professional		$1,333.11	$1,985.48	$3,179.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,493.38 / $2,137.91 / $3,147.18	Professional		$1,493.38	$2,137.91	$3,147.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.78 / $1,286.27 / $1,969.83	Professional		$117.78	$1,286.27	$1,969.83
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 $1,545.29 / $2,052.98 / $3,200.26	Professional		$1,545.29	$2,052.98	$3,200.26