Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,130.68 / $4,723.00 / $11,627.00	Facility		$1,130.68	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,130.68 / $1,132.29 / $2,235.75	Professional		$1,130.68	$1,132.29	$2,235.75
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 $924.80 / $1,212.90 / $2,006.38	Professional		$924.80	$1,212.90	$2,006.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $985.61 / $1,435.17 / $1,811.78	Facility		$985.61	$1,435.17	$1,811.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,062.91 / $1,109.58 / $1,884.24	Professional		$1,062.91	$1,109.58	$1,884.24
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 $907.72 / $1,403.19 / $2,179.58	Professional		$907.72	$1,403.19	$2,179.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,014.60 / $1,483.25 / $2,139.60	Professional		$1,014.60	$1,483.25	$2,139.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.35 / $1,001.77 / $1,398.37	Professional		$49.35	$1,001.77	$1,398.37
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 $1,051.33 / $1,395.30 / $2,276.25	Professional		$1,051.33	$1,395.30	$2,276.25