Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.23 / $2,849.00 / $10,268.00	Facility		$292.23	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.70 / $290.08 / $515.82	Professional		$193.70	$290.08	$515.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.65 / $293.10 / $492.77	Professional		$191.65	$293.10	$492.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $215.09 / $313.20 / $313.20	Facility		$215.09	$313.20	$313.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $254.84 / $346.38 / $346.38	Professional		$254.84	$346.38	$346.38
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 $205.57 / $330.32 / $576.50	Professional		$205.57	$330.32	$576.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $220.81 / $341.17 / $538.03	Professional		$220.81	$341.17	$538.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $267.76 / $372.16 / $514.66	Professional		$267.76	$372.16	$514.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,551.00 / $5,235.00	Facility		$1,689.00	$2,551.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $273.70 / $373.41 / $686.35	Professional		$273.70	$373.41	$686.35