Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,690.06 / $6,813.00 / $14,500.00	Facility		$1,690.06	$6,813.00	$14,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,118.58 / $1,136.56 / $3,096.64	Professional		$1,118.58	$1,136.56	$3,096.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,315.00 / $8,450.20 / $15,206.26	Facility		$3,315.00	$8,450.20	$15,206.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $927.28 / $1,276.08 / $2,208.96	Professional		$927.28	$1,276.08	$2,208.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,077.70 / $1,293.24 / $1,600.66	Facility		$1,077.70	$1,293.24	$1,600.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,185.47 / $1,185.47 / $1,195.35	Professional		$1,185.47	$1,185.47	$1,195.35
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 $913.21 / $1,508.78 / $2,323.65	Professional		$913.21	$1,508.78	$2,323.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,072.15 / $1,628.75 / $2,245.06	Professional		$1,072.15	$1,628.75	$2,245.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $1,117.08 / $1,609.00	Professional		$115.77	$1,117.08	$1,609.00
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 $1,105.59 / $1,486.86 / $2,544.07	Professional		$1,105.59	$1,486.86	$2,544.07