Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.78 / $2,971.95 / $5,617.77	Facility		$2,020.78	$2,971.95	$5,617.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,020.78 / $2,020.78 / $2,971.95	Professional		$2,020.78	$2,020.78	$2,971.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $834.45 / $1,385.73 / $4,925.64	Facility		$834.45	$1,385.73	$4,925.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $967.30 / $1,365.60 / $2,568.07	Professional		$967.30	$1,365.60	$2,568.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $269.33 / $269.33 / $369.83	Facility		$269.33	$269.33	$369.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $269.33 / $269.33 / $269.33	Professional		$269.33	$269.33	$269.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,147.08 / $2,147.08 / $2,147.08	Facility		$2,147.08	$2,147.08	$2,147.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,147.08 / $2,147.08 / $2,525.98	Professional		$2,147.08	$2,147.08	$2,525.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,147.08 / $2,147.08 / $2,525.98	Professional		$2,147.08	$2,147.08	$2,525.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,104.98 / $2,104.98 / $2,740.68	Professional		$2,104.98	$2,104.98	$2,740.68