Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $835.61 / $3,325.00 / $10,635.00	Facility		$835.61	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.27 / $561.94 / $1,195.58	Professional		$516.27	$561.94	$1,195.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,287.00 / $14,996.00	Facility		$1,712.00	$3,287.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $439.85 / $569.05 / $973.02	Professional		$439.85	$569.05	$973.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $625.16 / $625.16 / $625.16	Facility		$625.16	$625.16	$625.16
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 $534.66 / $739.13 / $1,262.56	Professional		$534.66	$739.13	$1,262.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $566.87 / $796.79 / $1,262.56	Professional		$566.87	$796.79	$1,262.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.53 / $460.87 / $804.00	Professional		$74.53	$460.87	$804.00
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 $501.56 / $668.74 / $1,177.60	Professional		$501.56	$668.74	$1,177.60