Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,716.06 / $6,582.00 / $11,627.00	Facility		$1,716.06	$6,582.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,712.61 / $1,716.06 / $3,407.88	Professional		$1,712.61	$1,716.06	$3,407.88
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 $1,362.67 / $1,932.36 / $3,080.47	Professional		$1,362.67	$1,932.36	$3,080.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,804.62 / $2,182.75 / $2,701.63	Facility		$1,804.62	$2,182.75	$2,701.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,900.51 / $2,000.86 / $2,000.86	Professional		$1,900.51	$2,000.86	$2,000.86
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 $1,586.20 / $2,518.14 / $3,854.87	Professional		$1,586.20	$2,518.14	$3,854.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,752.82 / $2,546.54 / $3,854.87	Professional		$1,752.82	$2,546.54	$3,854.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $218.95 / $1,551.12 / $2,548.56	Professional		$218.95	$1,551.12	$2,548.56
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 $1,740.56 / $2,478.37 / $4,411.09	Professional		$1,740.56	$2,478.37	$4,411.09