Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,788.21 / $6,824.00 / $11,627.00	Facility		$1,788.21	$6,824.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,766.48 / $1,788.21 / $3,562.14	Professional		$1,766.48	$1,788.21	$3,562.14
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 $1,488.97 / $1,951.94 / $3,506.40	Professional		$1,488.97	$1,951.94	$3,506.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,696.66 / $2,035.99 / $2,519.98	Facility		$1,696.66	$2,035.99	$2,519.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,866.33 / $1,866.33 / $2,026.22	Professional		$1,866.33	$1,866.33	$2,026.22
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 $1,436.99 / $2,375.32 / $3,665.64	Professional		$1,436.99	$2,375.32	$3,665.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,696.66 / $2,562.19 / $3,541.66	Professional		$1,696.66	$2,562.19	$3,541.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $155.61 / $1,753.26 / $2,490.95	Professional		$155.61	$1,753.26	$2,490.95
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 $1,726.90 / $2,285.67 / $3,871.73	Professional		$1,726.90	$2,285.67	$3,871.73