Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.19 / $1,967.00 / $9,516.00	Facility		$243.19	$1,967.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.43 / $253.71 / $422.42	Professional		$195.43	$253.71	$422.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,722.00 / $8,800.00	Facility		$1,145.00	$2,722.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.61 / $254.99 / $435.76	Professional		$169.61	$254.99	$435.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $218.39 / $318.00 / $318.00	Facility		$218.39	$318.00	$318.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $207.01 / $289.98 / $289.98	Professional		$207.01	$289.98	$289.98
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 $200.19 / $296.25 / $493.49	Professional		$200.19	$296.25	$493.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $224.82 / $321.16 / $489.32	Professional		$224.82	$321.16	$489.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $203.04 / $272.89 / $393.45	Professional		$203.04	$272.89	$393.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,930.00 / $4,067.00	Facility		$1,020.00	$1,930.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.33 / $294.70 / $510.33	Professional		$223.33	$294.70	$510.33