Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,527.81 / $5,004.00 / $11,627.00	Facility		$1,527.81	$5,004.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,527.81 / $1,527.81 / $4,002.86	Professional		$1,527.81	$1,527.81	$4,002.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,528.00 / $14,996.00	Facility		$1,760.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,091.65 / $1,554.00 / $2,684.30	Professional		$1,091.65	$1,554.00	$2,684.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,454.15 / $1,744.98 / $2,726.54	Facility		$1,454.15	$1,744.98	$2,726.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,599.57 / $1,599.57 / $2,835.60	Professional		$1,599.57	$1,599.57	$2,835.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,509.46 / $1,887.18 / $1,887.18	Professional		$1,509.46	$1,887.18	$1,887.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,259.81 / $2,259.81 / $2,268.67	Professional		$2,259.81	$2,259.81	$2,268.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.36 / $1,348.76 / $2,102.53	Professional		$118.36	$1,348.76	$2,102.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,353.88 / $1,930.65 / $3,356.30	Professional		$1,353.88	$1,930.65	$3,356.30