Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,635.08 / $6,569.00 / $11,627.00	Facility		$1,635.08	$6,569.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,620.67 / $1,635.08 / $3,276.28	Professional		$1,620.67	$1,635.08	$3,276.28
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 $1,389.50 / $1,970.51 / $3,272.46	Professional		$1,389.50	$1,970.51	$3,272.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,551.59 / $1,861.91 / $2,304.52	Facility		$1,551.59	$1,861.91	$2,304.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,706.75 / $1,706.75 / $2,111.69	Professional		$1,706.75	$1,706.75	$2,111.69
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 $1,314.34 / $2,345.21 / $3,371.47	Professional		$1,314.34	$2,345.21	$3,371.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,551.59 / $2,368.42 / $3,257.44	Professional		$1,551.59	$2,368.42	$3,257.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.52 / $1,399.86 / $2,230.83	Professional		$116.52	$1,399.86	$2,230.83
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 $1,590.15 / $2,134.82 / $3,961.78	Professional		$1,590.15	$2,134.82	$3,961.78