Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,201.00 / $11,627.00	Facility		$1,000.00	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $653.75 / $691.46 / $1,303.75	Professional		$653.75	$691.46	$1,303.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,405.00 / $14,996.00	Facility		$1,712.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $590.22 / $749.93 / $1,277.92	Professional		$590.22	$749.93	$1,277.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $766.72 / $1,116.44 / $1,116.44	Facility		$766.72	$1,116.44	$1,116.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $654.89 / $826.85 / $826.85	Professional		$654.89	$826.85	$826.85
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 $658.64 / $975.05 / $1,556.94	Professional		$658.64	$975.05	$1,556.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $698.32 / $1,002.43 / $1,556.94	Professional		$698.32	$1,002.43	$1,556.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $557.92 / $977.34	Professional		$75.89	$557.92	$977.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,853.00	Facility		$2,840.00	$5,625.00	$7,853.00
United Facility/Professional Professional Modifier Low / Median / High Price $634.83 / $822.84 / $1,414.88	Professional		$634.83	$822.84	$1,414.88