Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.09 / $8,553.00 / $12,313.00	Facility		$1,628.09	$8,553.00	$12,313.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,094.88 / $1,094.88 / $2,976.57	Professional		$1,094.88	$1,094.88	$2,976.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $7,826.00 / $36,529.00	Facility		$2,097.00	$7,826.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $882.33 / $1,221.99 / $2,224.62	Professional		$882.33	$1,221.99	$2,224.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,062.59 / $1,275.11 / $1,578.24	Facility		$1,062.59	$1,275.11	$1,578.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,119.05 / $1,168.85 / $1,168.85	Professional		$1,119.05	$1,168.85	$1,168.85
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 $897.73 / $1,487.63 / $2,235.67	Professional		$897.73	$1,487.63	$2,235.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,062.59 / $1,593.95 / $2,239.36	Professional		$1,062.59	$1,593.95	$2,239.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.52 / $909.51 / $1,458.59	Professional		$116.52	$909.51	$1,458.59
United Facility/Professional Facility Modifier Low / Median / High Price $4,227.00 / $9,067.00 / $15,000.00	Facility		$4,227.00	$9,067.00	$15,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,051.86 / $1,409.62 / $2,406.66	Professional		$1,051.86	$1,409.62	$2,406.66