Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,991.82 / $6,045.26 / $11,627.00	Facility		$1,991.82	$6,045.26	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,991.82 / $1,991.82 / $4,005.34	Professional		$1,991.82	$1,991.82	$4,005.34
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 $1,711.74 / $2,245.00 / $3,684.71	Professional		$1,711.74	$2,245.00	$3,684.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,734.30 / $2,525.37 / $3,188.04	Facility		$1,734.30	$2,525.37	$3,188.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,870.32 / $2,159.19 / $3,315.57	Professional		$1,870.32	$2,159.19	$3,315.57
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 $1,644.26 / $2,401.71 / $3,759.71	Professional		$1,644.26	$2,401.71	$3,759.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,792.86 / $2,485.83 / $3,623.89	Professional		$1,792.86	$2,485.83	$3,623.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.79 / $1,728.48 / $2,441.23	Professional		$184.79	$1,728.48	$2,441.23
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 $1,800.66 / $2,408.09 / $3,787.65	Professional		$1,800.66	$2,408.09	$3,787.65