Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,343.66 / $5,135.00 / $11,627.00	Facility		$1,343.66	$5,135.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,343.66 / $1,343.72 / $2,641.24	Professional		$1,343.66	$1,343.72	$2,641.24
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 $975.40 / $1,480.36 / $2,568.73	Professional		$975.40	$1,480.36	$2,568.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,170.66 / $1,704.64 / $2,151.96	Facility		$1,170.66	$1,704.64	$2,151.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,203.51 / $1,262.48 / $2,238.03	Professional		$1,203.51	$1,262.48	$2,238.03
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 $1,077.90 / $1,606.79 / $2,578.81	Professional		$1,077.90	$1,606.79	$2,578.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,205.08 / $1,609.45 / $2,540.73	Professional		$1,205.08	$1,609.45	$2,540.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.74 / $1,114.12 / $1,620.96	Professional		$106.74	$1,114.12	$1,620.96
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 $1,211.64 / $1,585.36 / $2,550.82	Professional		$1,211.64	$1,585.36	$2,550.82