Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,586.23 / $8,956.00 / $11,627.00	Facility		$2,586.23	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,586.23 / $2,586.23 / $5,420.63	Professional		$2,586.23	$2,586.23	$5,420.63
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 $2,228.25 / $3,114.54 / $5,345.50	Professional		$2,228.25	$3,114.54	$5,345.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,704.73 / $3,289.73 / $4,071.75	Facility		$2,704.73	$3,289.73	$4,071.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,746.65 / $3,015.58 / $3,015.58	Professional		$2,746.65	$3,015.58	$3,015.58
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 $2,483.31 / $3,838.01 / $5,861.96	Professional		$2,483.31	$3,838.01	$5,861.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,741.44 / $4,059.21 / $5,861.96	Professional		$2,741.44	$4,059.21	$5,861.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $355.16 / $2,338.93 / $3,844.49	Professional		$355.16	$2,338.93	$3,844.49
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 $2,775.07 / $3,730.89 / $6,322.23	Professional		$2,775.07	$3,730.89	$6,322.23