Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,730.60 / $6,582.00 / $11,627.00	Facility		$1,730.60	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,730.60 / $1,730.60 / $3,445.25	Professional		$1,730.60	$1,730.60	$3,445.25
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 $1,497.38 / $2,094.04 / $3,433.39	Professional		$1,497.38	$2,094.04	$3,433.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,814.42 / $2,201.62 / $2,724.98	Facility		$1,814.42	$2,201.62	$2,724.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,001.91 / $2,018.15 / $2,018.15	Professional		$2,001.91	$2,018.15	$2,018.15
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 $1,604.52 / $2,540.46 / $3,891.52	Professional		$1,604.52	$2,540.46	$3,891.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,790.77 / $2,579.23 / $3,891.52	Professional		$1,790.77	$2,579.23	$3,891.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $233.14 / $1,584.77 / $2,571.53	Professional		$233.14	$1,584.77	$2,571.53
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 $1,822.58 / $2,476.82 / $4,209.24	Professional		$1,822.58	$2,476.82	$4,209.24