Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,355.29 / $7,012.00 / $11,627.00	Facility		$1,355.29	$7,012.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,355.29 / $1,355.29 / $2,688.31	Professional		$1,355.29	$1,355.29	$2,688.31
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 $990.44 / $1,395.64 / $2,377.85	Professional		$990.44	$1,395.64	$2,377.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,431.87 / $1,726.21 / $2,136.56	Facility		$1,431.87	$1,726.21	$2,136.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,335.55 / $1,582.36 / $1,582.36	Professional		$1,335.55	$1,582.36	$1,582.36
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 $1,205.26 / $1,870.06 / $3,045.21	Professional		$1,205.26	$1,870.06	$3,045.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,284.32 / $1,921.58 / $3,045.21	Professional		$1,284.32	$1,921.58	$3,045.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $185.93 / $1,245.99 / $2,017.61	Professional		$185.93	$1,245.99	$2,017.61
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 $1,256.86 / $1,907.70 / $3,269.74	Professional		$1,256.86	$1,907.70	$3,269.74