Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.26 / $2,547.00 / $10,635.00	Facility		$115.26	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.51 / $78.11 / $189.29	Professional		$77.51	$78.11	$189.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,036.63 / $4,352.91 / $8,015.00	Facility		$2,036.63	$4,352.91	$8,015.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.77 / $121.67 / $194.93	Professional		$80.77	$121.67	$194.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.17 / $89.00 / $110.17	Facility		$74.17	$89.00	$110.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $81.59 / $113.81	Professional		$81.59	$81.59	$113.81
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 $81.59 / $123.55 / $252.67	Professional		$81.59	$123.55	$252.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $82.60 / $132.09 / $251.04	Professional		$82.60	$132.09	$251.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.69 / $81.81 / $108.23	Professional		$64.69	$81.81	$108.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $104.04 / $173.46	Professional		$76.06	$104.04	$173.46