Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $6,582.00 / $11,581.00	Facility		$2,264.00	$6,582.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,729.25 / $1,729.25 / $4,565.22	Professional		$1,729.25	$1,729.25	$4,565.22
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 $1,511.33 / $2,026.02 / $3,639.85	Professional		$1,511.33	$2,026.02	$3,639.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,744.92 / $2,093.90 / $3,271.73	Facility		$1,744.92	$2,093.90	$3,271.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,919.41 / $1,919.41 / $3,402.60	Professional		$1,919.41	$1,919.41	$3,402.60
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 $1,482.04 / $2,442.88 / $3,734.12	Professional		$1,482.04	$2,442.88	$3,734.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,744.92 / $2,545.19 / $3,682.48	Professional		$1,744.92	$2,545.19	$3,682.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.85 / $1,515.78 / $2,460.48	Professional		$157.85	$1,515.78	$2,460.48
United Facility/Professional Facility Modifier Low / Median / High Price $3,793.00 / $6,579.00 / $10,989.00	Facility		$3,793.00	$6,579.00	$10,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,734.77 / $2,355.64 / $4,069.27	Professional		$1,734.77	$2,355.64	$4,069.27