Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,559.79 / $4,895.00 / $11,627.00	Facility		$1,559.79	$4,895.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,559.79 / $1,559.79 / $4,630.72	Professional		$1,559.79	$1,559.79	$4,630.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.99 / $1,831.00 / $3,840.45	Facility		$870.99	$1,831.00	$3,840.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $690.01 / $1,370.75 / $2,302.26	Professional		$690.01	$1,370.75	$2,302.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,362.78 / $1,362.78 / $1,984.39	Facility		$1,362.78	$1,362.78	$1,984.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,223.30 / $1,469.67 / $1,469.67	Professional		$1,223.30	$1,469.67	$1,469.67
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 $1,336.06 / $1,857.22 / $2,767.43	Professional		$1,336.06	$1,857.22	$2,767.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,427.34 / $1,877.95 / $2,767.43	Professional		$1,427.34	$1,877.95	$2,767.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.99 / $1,206.09 / $1,860.33	Professional		$112.99	$1,206.09	$1,860.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,313.00 / $4,138.00 / $6,502.00	Facility		$1,313.00	$4,138.00	$6,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,366.59 / $1,781.05 / $2,863.34	Professional		$1,366.59	$1,781.05	$2,863.34