Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,535.19 / $8,037.00 / $11,754.00	Facility		$1,535.19	$8,037.00	$11,754.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,032.41 / $1,032.41 / $3,471.49	Professional		$1,032.41	$1,032.41	$3,471.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,142.00 / $12,455.21 / $21,287.94	Facility		$4,142.00	$12,455.21	$21,287.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $846.61 / $1,126.79 / $2,011.07	Professional		$846.61	$1,126.79	$2,011.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $979.82 / $1,175.78 / $1,455.29	Facility		$979.82	$1,175.78	$1,455.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,077.80 / $1,077.80 / $1,149.64	Professional		$1,077.80	$1,077.80	$1,149.64
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 $830.45 / $1,371.75 / $2,120.05	Professional		$830.45	$1,371.75	$2,120.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $966.41 / $1,491.76 / $2,048.35	Professional		$966.41	$1,491.76	$2,048.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $1,025.14 / $1,458.83	Professional		$115.77	$1,025.14	$1,458.83
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 $999.95 / $1,322.76 / $2,319.38	Professional		$999.95	$1,322.76	$2,319.38