Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,590.80 / $5,597.00 / $10,817.74	Facility		$1,590.80	$5,597.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,446.18 / $1,446.18 / $4,044.00	Professional		$1,446.18	$1,446.18	$4,044.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,191.00 / $4,966.00 / $19,117.00	Facility		$2,191.00	$4,966.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,223.07 / $1,603.47 / $2,843.22	Professional		$1,223.07	$1,603.47	$2,843.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,332.33 / $1,598.80 / $1,978.86	Facility		$1,332.33	$1,598.80	$1,978.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,465.56 / $1,465.56 / $1,523.36	Professional		$1,465.56	$1,465.56	$1,523.36
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 $1,128.85 / $1,876.40 / $2,879.07	Professional		$1,128.85	$1,876.40	$2,879.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,332.33 / $2,045.13 / $2,781.69	Professional		$1,332.33	$2,045.13	$2,781.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $155.81 / $1,369.71 / $1,958.72	Professional		$155.81	$1,369.71	$1,958.72
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,578.00 / $10,075.00	Facility		$3,206.00	$6,578.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,339.74 / $1,798.65 / $2,980.08	Professional		$1,339.74	$1,798.65	$2,980.08