Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,536.62 / $5,135.00 / $10,268.00	Facility		$1,536.62	$5,135.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,033.36 / $1,033.36 / $2,728.10	Professional		$1,033.36	$1,033.36	$2,728.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $4,142.00 / $19,117.00	Facility		$2,009.00	$4,142.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.76 / $986.84 / $1,742.15	Professional		$630.76	$986.84	$1,742.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $977.07 / $1,172.48 / $1,451.21	Facility		$977.07	$1,172.48	$1,451.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $799.58 / $1,074.78 / $1,074.78	Professional		$799.58	$1,074.78	$1,074.78
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 $643.39 / $1,270.19 / $2,090.92	Professional		$643.39	$1,270.19	$2,090.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $655.82 / $1,328.79 / $2,090.92	Professional		$655.82	$1,328.79	$2,090.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.90 / $836.11 / $1,380.75	Professional		$112.90	$836.11	$1,380.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $808.51 / $1,287.53 / $2,132.69	Professional		$808.51	$1,287.53	$2,132.69