Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.02 / $2,846.78 / $9,534.00	Facility		$334.02	$2,846.78	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.45 / $334.02 / $653.77	Professional		$225.45	$334.02	$653.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,264.00 / $14,996.00	Facility		$1,712.00	$3,264.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.28 / $341.81 / $560.22	Professional		$228.28	$341.81	$560.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $215.96 / $259.14 / $320.75	Facility		$215.96	$259.14	$320.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $325.93 / $347.77 / $347.77	Professional		$325.93	$347.77	$347.77
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 $248.36 / $381.90 / $633.80	Professional		$248.36	$381.90	$633.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $267.79 / $395.19 / $633.80	Professional		$267.79	$395.19	$633.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $317.71 / $429.70 / $579.24	Professional		$317.71	$429.70	$579.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,665.00 / $5,268.00	Facility		$1,689.00	$2,665.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $299.38 / $426.80 / $728.89	Professional		$299.38	$426.80	$728.89