Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,400.91 / $8,618.35 / $11,627.00	Facility		$2,400.91	$8,618.35	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,400.91 / $2,558.36 / $6,290.38	Professional		$2,400.91	$2,558.36	$6,290.38
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 $1,931.26 / $2,679.27 / $4,700.18	Professional		$1,931.26	$2,679.27	$4,700.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,520.65 / $3,024.78 / $4,726.22	Facility		$2,520.65	$3,024.78	$4,726.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,772.72 / $2,772.72 / $4,915.28	Professional		$2,772.72	$2,772.72	$4,915.28
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 $2,141.69 / $3,528.91 / $5,560.59	Professional		$2,141.69	$3,528.91	$5,560.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,519.11 / $3,704.91 / $5,560.59	Professional		$2,519.11	$3,704.91	$5,560.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $335.76 / $2,179.73 / $3,535.00	Professional		$335.76	$2,179.73	$3,535.00
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 $2,541.89 / $3,494.43 / $6,544.64	Professional		$2,541.89	$3,494.43	$6,544.64