Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,799.36 / $6,002.00 / $11,627.00	Facility		$1,799.36	$6,002.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,727.87 / $1,799.36 / $3,170.00	Professional		$1,727.87	$1,799.36	$3,170.00
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 $1,484.28 / $2,073.86 / $3,321.80	Professional		$1,484.28	$2,073.86	$3,321.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,659.09 / $1,990.91 / $2,464.17	Facility		$1,659.09	$1,990.91	$2,464.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,825.00 / $1,825.00 / $2,016.62	Professional		$1,825.00	$1,825.00	$2,016.62
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 $1,405.28 / $2,400.34 / $3,583.88	Professional		$1,405.28	$2,400.34	$3,583.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,633.53 / $2,525.09 / $3,462.67	Professional		$1,633.53	$2,525.09	$3,462.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $192.11 / $1,678.70 / $2,439.35	Professional		$192.11	$1,678.70	$2,439.35
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 $1,601.75 / $2,239.77 / $3,747.55	Professional		$1,601.75	$2,239.77	$3,747.55