Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,221.84 / $4,723.00 / $11,627.00	Facility		$1,221.84	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,166.76 / $1,221.84 / $2,146.71	Professional		$1,166.76	$1,221.84	$2,146.71
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 $975.55 / $1,279.78 / $2,226.29	Professional		$975.55	$1,279.78	$2,226.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,126.47 / $1,351.76 / $1,673.10	Facility		$1,126.47	$1,351.76	$1,673.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,239.11 / $1,239.11 / $1,284.91	Professional		$1,239.11	$1,239.11	$1,284.91
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 $954.61 / $1,578.92 / $2,426.98	Professional		$954.61	$1,578.92	$2,426.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,126.47 / $1,706.20 / $2,344.90	Professional		$1,126.47	$1,706.20	$2,344.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $1,136.57 / $1,655.08	Professional		$115.97	$1,136.57	$1,655.08
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 $1,103.28 / $1,483.54 / $2,508.89	Professional		$1,103.28	$1,483.54	$2,508.89