Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $908.70 / $4,839.87 / $11,627.00	Facility		$908.70	$4,839.87	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,312.76 / $1,312.76 / $2,701.64	Professional		$1,312.76	$1,312.76	$2,701.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,813.00 / $17,502.61 / $31,496.21	Facility		$6,813.00	$17,502.61	$31,496.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,094.06 / $1,504.75 / $2,624.61	Professional		$1,094.06	$1,504.75	$2,624.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,383.82 / $1,671.95 / $2,612.42	Facility		$1,383.82	$1,671.95	$2,612.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,532.62 / $1,532.62 / $2,716.92	Professional		$1,532.62	$1,532.62	$2,716.92
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 $1,203.88 / $1,936.33 / $2,948.18	Professional		$1,203.88	$1,936.33	$2,948.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,351.77 / $1,955.08 / $2,948.18	Professional		$1,351.77	$1,955.08	$2,948.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.18 / $1,161.14 / $1,936.35	Professional		$184.18	$1,161.14	$1,936.35
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 $1,383.09 / $1,880.94 / $3,274.76	Professional		$1,383.09	$1,880.94	$3,274.76