Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,795.27 / $8,956.00 / $11,627.00	Facility		$2,795.27	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,795.27 / $2,795.27 / $5,577.17	Professional		$2,795.27	$2,795.27	$5,577.17
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 $2,293.23 / $3,467.04 / $5,438.25	Professional		$2,293.23	$3,467.04	$5,438.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,917.07 / $3,553.78 / $4,398.56	Facility		$2,917.07	$3,553.78	$4,398.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,323.59 / $3,257.63 / $3,257.63	Professional		$2,323.59	$3,257.63	$3,257.63
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 $2,691.94 / $4,110.39 / $6,301.03	Professional		$2,691.94	$4,110.39	$6,301.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,961.48 / $4,399.87 / $6,301.03	Professional		$2,961.48	$4,399.87	$6,301.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $376.42 / $2,519.50 / $4,145.36	Professional		$376.42	$2,519.50	$4,145.36
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 $3,008.64 / $4,183.08 / $7,277.11	Professional		$3,008.64	$4,183.08	$7,277.11