Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,706.00 / $11,581.00	Facility		$1,000.00	$5,706.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $744.67 / $855.11 / $1,438.00	Professional		$744.67	$855.11	$1,438.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $641.48 / $816.25 / $1,398.18	Professional		$641.48	$816.25	$1,398.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $860.80 / $1,345.01 / $1,345.01	Facility		$860.80	$1,345.01	$1,345.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,645.65 / $1,645.65 / $1,645.65	Professional		$1,645.65	$1,645.65	$1,645.65
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 $744.83 / $1,054.90 / $1,744.20	Professional		$744.83	$1,054.90	$1,744.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $789.07 / $1,115.27 / $1,744.20	Professional		$789.07	$1,115.27	$1,744.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.53 / $649.99 / $1,099.74	Professional		$74.53	$649.99	$1,099.74
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 $717.91 / $928.59 / $1,565.05	Professional		$717.91	$928.59	$1,565.05