Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.30 / $2,849.00 / $10,268.00	Facility		$685.30	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $584.47 / $685.30 / $1,651.78	Professional		$584.47	$685.30	$1,651.78
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 $549.86 / $730.23 / $1,285.04	Professional		$549.86	$730.23	$1,285.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $701.60 / $1,021.64 / $1,021.64	Facility		$701.60	$1,021.64	$1,021.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $700.25 / $819.19 / $819.19	Professional		$700.25	$819.19	$819.19
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 $643.14 / $891.38 / $1,520.24	Professional		$643.14	$891.38	$1,520.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $665.08 / $928.59 / $1,471.99	Professional		$665.08	$928.59	$1,471.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $578.26 / $982.08	Professional		$75.89	$578.26	$982.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,513.00 / $7,847.00	Facility		$2,840.00	$5,513.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $624.16 / $832.23 / $1,397.47	Professional		$624.16	$832.23	$1,397.47