Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.36 / $2,849.00 / $10,268.00	Facility		$223.36	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.40 / $262.55 / $462.26	Professional		$131.40	$262.55	$462.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,012.00 / $3,943.00	Facility		$937.00	$2,012.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.27 / $229.35 / $386.43	Professional		$148.27	$229.35	$386.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $126.07 / $151.28 / $187.25	Facility		$126.07	$151.28	$187.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $207.27 / $270.27 / $270.27	Professional		$207.27	$270.27	$270.27
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 $151.28 / $273.93 / $458.08	Professional		$151.28	$273.93	$458.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $156.59 / $282.56 / $475.65	Professional		$156.59	$282.56	$475.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $225.80 / $307.49 / $419.54	Professional		$225.80	$307.49	$419.54
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $225.15 / $324.16 / $578.62	Professional		$225.15	$324.16	$578.62