Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,505.90 / $5,816.00 / $11,627.00	Facility		$1,505.90	$5,816.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,505.90 / $1,505.90 / $2,648.44	Professional		$1,505.90	$1,505.90	$2,648.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,142.00 / $14,489.11 / $24,772.14	Facility		$4,142.00	$14,489.11	$24,772.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,332.38 / $1,768.98 / $3,208.85	Professional		$1,332.38	$1,768.98	$3,208.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,519.47 / $1,823.36 / $2,256.81	Facility		$1,519.47	$1,823.36	$2,256.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,463.34 / $1,671.42 / $1,671.42	Professional		$1,463.34	$1,671.42	$1,671.42
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 $1,291.23 / $2,127.25 / $3,251.66	Professional		$1,291.23	$2,127.25	$3,251.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,519.47 / $2,238.23 / $3,207.74	Professional		$1,519.47	$2,238.23	$3,207.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $155.34 / $1,310.08 / $2,133.26	Professional		$155.34	$1,310.08	$2,133.26
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 $1,458.10 / $2,051.28 / $3,367.16	Professional		$1,458.10	$2,051.28	$3,367.16