Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.32 / $2,849.00 / $10,268.00	Facility		$465.32	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.82 / $465.32 / $884.58	Professional		$301.82	$465.32	$884.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,405.00 / $14,996.00	Facility		$1,760.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.90 / $397.70 / $726.26	Professional		$247.90	$397.70	$726.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $339.37 / $494.17 / $494.17	Facility		$339.37	$494.17	$494.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $403.24 / $547.17 / $547.17	Professional		$403.24	$547.17	$547.17
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 $342.51 / $515.71 / $870.52	Professional		$342.51	$515.71	$870.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $346.78 / $522.30 / $843.05	Professional		$346.78	$522.30	$843.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $372.63 / $646.90	Professional		$36.50	$372.63	$646.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,138.00 / $6,522.00	Facility		$2,233.00	$4,138.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $412.97 / $544.23 / $987.71	Professional		$412.97	$544.23	$987.71