Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,955.74 / $8,956.00 / $11,627.00	Facility		$2,955.74	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,955.74 / $2,955.74 / $5,949.32	Professional		$2,955.74	$2,955.74	$5,949.32
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 $2,280.48 / $3,246.35 / $5,470.81	Professional		$2,280.48	$3,246.35	$5,470.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,114.15 / $3,737.41 / $5,839.71	Facility		$3,114.15	$3,737.41	$5,839.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,425.96 / $3,425.96 / $6,073.29	Professional		$3,425.96	$3,425.96	$6,073.29
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 $2,523.65 / $4,345.09 / $6,728.38	Professional		$2,523.65	$4,345.09	$6,728.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,899.57 / $4,423.95 / $6,728.38	Professional		$2,899.57	$4,423.95	$6,728.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $406.25 / $2,672.59 / $4,408.57	Professional		$406.25	$2,672.59	$4,408.57
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 $3,027.21 / $4,180.79 / $7,171.11	Professional		$3,027.21	$4,180.79	$7,171.11