Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,444.52 / $6,251.00 / $11,581.00	Facility		$1,444.52	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,072.64 / $1,072.64 / $3,069.48	Professional		$1,072.64	$1,072.64	$3,069.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,437.00 / $19,117.00	Facility		$2,084.00	$4,437.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $965.97 / $1,355.65 / $2,326.41	Professional		$965.97	$1,355.65	$2,326.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,080.96 / $1,297.15 / $2,026.80	Facility		$1,080.96	$1,297.15	$2,026.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,189.06 / $1,189.06 / $2,107.88	Professional		$1,189.06	$1,189.06	$2,107.88
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 $918.98 / $1,513.34 / $2,313.25	Professional		$918.98	$1,513.34	$2,313.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,080.96 / $1,562.01 / $2,285.19	Professional		$1,080.96	$1,562.01	$2,285.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $960.48 / $1,530.98	Professional		$78.92	$960.48	$1,530.98
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 $1,073.16 / $1,455.35 / $2,388.40	Professional		$1,073.16	$1,455.35	$2,388.40