Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,280.24 / $4,723.00 / $11,627.00	Facility		$1,280.24	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,222.00 / $1,280.24 / $2,545.61	Professional		$1,222.00	$1,280.24	$2,545.61
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 $1,072.53 / $1,407.81 / $2,481.61	Professional		$1,072.53	$1,407.81	$2,481.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,215.14 / $1,458.17 / $1,804.81	Facility		$1,215.14	$1,458.17	$1,804.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,336.65 / $1,336.65 / $1,447.48	Professional		$1,336.65	$1,336.65	$1,447.48
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 $1,029.66 / $1,701.20 / $2,619.56	Professional		$1,029.66	$1,701.20	$2,619.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,189.83 / $1,842.77 / $2,530.96	Professional		$1,189.83	$1,842.77	$2,530.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $1,273.96 / $1,823.17	Professional		$115.77	$1,273.96	$1,823.17
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 $1,245.90 / $1,669.70 / $2,852.57	Professional		$1,245.90	$1,669.70	$2,852.57