Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,478.90 / $8,273.00 / $11,679.00	Facility		$1,478.90	$8,273.00	$11,679.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,478.90 / $1,478.90 / $2,942.39	Professional		$1,478.90	$1,478.90	$2,942.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,426.00 / $19,117.00	Facility		$2,084.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,210.06 / $1,677.32 / $2,780.69	Professional		$1,210.06	$1,677.32	$2,780.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,552.85 / $1,882.03 / $2,329.42	Facility		$1,552.85	$1,882.03	$2,329.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,629.22 / $1,725.20 / $1,725.20	Professional		$1,629.22	$1,725.20	$1,725.20
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 $1,378.88 / $2,171.13 / $3,327.90	Professional		$1,378.88	$2,171.13	$3,327.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,529.96 / $2,216.52 / $3,327.90	Professional		$1,529.96	$2,216.52	$3,327.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $229.13 / $1,542.58 / $2,275.37	Professional		$229.13	$1,542.58	$2,275.37
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,578.00 / $10,075.00	Facility		$3,206.00	$6,578.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,545.72 / $2,117.29 / $3,590.49	Professional		$1,545.72	$2,117.29	$3,590.49