Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,243.60 / $3,602.00 / $10,635.00	Facility		$1,243.60	$3,602.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.32 / $836.32 / $1,732.58	Professional		$836.32	$836.32	$1,732.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,408.00 / $14,299.15 / $25,723.30	Facility		$4,408.00	$14,299.15	$25,723.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $733.96 / $1,000.81 / $1,745.65	Professional		$733.96	$1,000.81	$1,745.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $799.53 / $959.44 / $1,499.12	Facility		$799.53	$959.44	$1,499.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $879.48 / $973.18 / $1,559.09	Professional		$879.48	$973.18	$1,559.09
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 $751.56 / $1,209.48 / $1,726.67	Professional		$751.56	$1,209.48	$1,726.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $799.53 / $1,227.28 / $1,761.05	Professional		$799.53	$1,227.28	$1,761.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $831.40 / $1,176.36	Professional		$75.89	$831.40	$1,176.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,998.00 / $7,847.00	Facility		$2,840.00	$5,998.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $760.17 / $1,079.36 / $1,824.17	Professional		$760.17	$1,079.36	$1,824.17