Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,183.59 / $3,247.00 / $7,738.38	Facility		$2,183.59	$3,247.00	$7,738.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,183.59 / $2,621.25 / $4,083.95	Professional		$2,183.59	$2,621.25	$4,083.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,528.00 / $14,996.00	Facility		$1,760.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,869.72 / $2,735.89 / $4,791.71	Professional		$1,869.72	$2,735.89	$4,791.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,410.75 / $3,829.51 / $3,829.51	Facility		$2,410.75	$3,829.51	$3,829.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,523.26 / $2,836.17 / $2,836.17	Professional		$2,523.26	$2,836.17	$2,836.17
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 $1,770.76 / $3,351.84 / $4,888.99	Professional		$1,770.76	$3,351.84	$4,888.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,018.52 / $3,483.80 / $4,898.84	Professional		$2,018.52	$3,483.80	$4,898.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,371.88 / $3,284.72 / $4,379.63	Professional		$2,371.88	$3,284.72	$4,379.63
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 $2,023.88 / $2,993.41 / $4,253.47	Professional		$2,023.88	$2,993.41	$4,253.47