Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.65 / $407.06 / $11,627.00	Facility		$97.65	$407.06	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.77 / $123.41 / $259.06	Professional		$88.77	$123.41	$259.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $132.81 / $230.55	Professional		$87.12	$132.81	$230.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.20 / $102.24 / $126.55	Facility		$85.20	$102.24	$126.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.99 / $129.37 / $129.37	Professional		$125.99	$129.37	$129.37
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 $102.24 / $153.38 / $270.51	Professional		$102.24	$153.38	$270.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $106.50 / $155.31 / $270.51	Professional		$106.50	$155.31	$270.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.59 / $156.67 / $210.19	Professional		$115.59	$156.67	$210.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,952.00 / $4,132.00	Facility		$1,020.00	$1,952.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.52 / $157.36 / $268.77	Professional		$118.52	$157.36	$268.77