Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,070.06 / $5,201.00 / $11,627.00	Facility		$1,070.06	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $817.34 / $874.19 / $1,651.24	Professional		$817.34	$874.19	$1,651.24
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 $747.43 / $951.41 / $1,617.57	Professional		$747.43	$951.41	$1,617.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $970.44 / $1,413.09 / $1,413.09	Facility		$970.44	$1,413.09	$1,413.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $841.85 / $1,046.55 / $1,046.55	Professional		$841.85	$1,046.55	$1,046.55
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 $837.81 / $1,189.26 / $1,974.66	Professional		$837.81	$1,189.26	$1,974.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $888.28 / $1,266.48 / $1,974.66	Professional		$888.28	$1,266.48	$1,974.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $746.66 / $1,256.58	Professional		$75.89	$746.66	$1,256.58
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 $815.96 / $1,045.15 / $1,760.41	Professional		$815.96	$1,045.15	$1,760.41