Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,856.92 / $5,841.00 / $10,817.74	Facility		$1,856.92	$5,841.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,688.11 / $1,688.11 / $3,983.00	Professional		$1,688.11	$1,688.11	$3,983.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,426.00 / $12,098.50 / $21,233.00	Facility		$4,426.00	$12,098.50	$21,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,339.46 / $1,827.97 / $3,181.50	Professional		$1,339.46	$1,827.97	$3,181.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,641.66 / $1,969.99 / $2,438.29	Facility		$1,641.66	$1,969.99	$2,438.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,343.22 / $1,805.83 / $1,805.83	Professional		$1,343.22	$1,805.83	$1,805.83
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 $1,389.73 / $2,270.34 / $3,425.35	Professional		$1,389.73	$2,270.34	$3,425.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,641.66 / $2,298.33 / $3,425.35	Professional		$1,641.66	$2,298.33	$3,425.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $233.06 / $1,381.45 / $2,276.40	Professional		$233.06	$1,381.45	$2,276.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,998.00 / $7,847.00	Facility		$2,840.00	$5,998.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,527.65 / $2,136.79 / $3,616.76	Professional		$1,527.65	$2,136.79	$3,616.76