Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,652.55 / $9,534.00 / $27,127.00	Facility		$3,652.55	$9,534.00	$27,127.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,652.55 / $3,652.55 / $7,318.34	Professional		$3,652.55	$3,652.55	$7,318.34
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 $2,958.87 / $4,413.20 / $7,304.64	Professional		$2,958.87	$4,413.20	$7,304.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,808.83 / $4,645.47 / $5,749.78	Facility		$3,808.83	$4,645.47	$5,749.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,406.81 / $4,258.35 / $4,258.35	Professional		$3,406.81	$4,258.35	$4,258.35
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 $3,233.71 / $5,359.72 / $8,238.17	Professional		$3,233.71	$5,359.72	$8,238.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3,538.27 / $5,451.80 / $8,238.17	Professional		$3,538.27	$5,451.80	$8,238.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $513.49 / $3,286.47 / $5,413.01	Professional		$513.49	$3,286.47	$5,413.01
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 $3,626.13 / $5,282.61 / $9,008.02	Professional		$3,626.13	$5,282.61	$9,008.02