Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,925.00 / $5,261.00 / $11,627.00	Facility		$1,925.00	$5,261.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,366.24 / $1,393.31 / $4,145.67	Professional		$1,366.24	$1,393.31	$4,145.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,426.00 / $19,117.00	Facility		$2,084.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,124.20 / $1,461.46 / $2,639.22	Professional		$1,124.20	$1,461.46	$2,639.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,189.64 / $1,732.30 / $2,186.85	Facility		$1,189.64	$1,732.30	$2,186.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,229.91 / $1,282.95 / $2,274.33	Professional		$1,229.91	$1,282.95	$2,274.33
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 $1,096.33 / $1,636.69 / $2,649.54	Professional		$1,096.33	$1,636.69	$2,649.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,229.01 / $1,784.68 / $2,589.48	Professional		$1,229.01	$1,784.68	$2,589.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.74 / $1,149.33 / $1,670.64	Professional		$106.74	$1,149.33	$1,670.64
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,448.00 / $13,382.00	Facility		$4,070.00	$8,448.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,260.95 / $1,689.74 / $2,393.35	Professional		$1,260.95	$1,689.74	$2,393.35