Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $619.01 / $3,999.00 / $10,268.00	Facility		$619.01	$3,999.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.54 / $619.01 / $1,221.14	Professional		$500.54	$619.01	$1,221.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,437.00 / $19,117.00	Facility		$2,084.00	$4,437.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.72 / $588.70 / $958.64	Professional		$402.72	$588.70	$958.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $478.62 / $574.34 / $897.42	Facility		$478.62	$574.34	$897.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $650.96 / $650.96 / $1,153.97	Professional		$650.96	$650.96	$1,153.97
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 $502.55 / $741.86 / $1,233.89	Professional		$502.55	$741.86	$1,233.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $517.09 / $763.39 / $1,233.89	Professional		$517.09	$763.39	$1,233.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.58 / $537.07 / $872.70	Professional		$77.58	$537.07	$872.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,578.00 / $10,075.00	Facility		$3,206.00	$6,578.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $566.28 / $745.98 / $1,327.43	Professional		$566.28	$745.98	$1,327.43