Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $903.59 / $4,723.00 / $11,627.00	Facility		$903.59	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $903.59 / $935.97 / $2,367.41	Professional		$903.59	$935.97	$2,367.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,010.00 / $36,529.00	Facility		$2,097.00	$8,010.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $661.16 / $967.63 / $1,651.23	Professional		$661.16	$967.63	$1,651.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $787.87 / $787.87 / $1,147.24	Facility		$787.87	$787.87	$1,147.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $849.66 / $849.66 / $1,018.90	Professional		$849.66	$849.66	$1,018.90
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 $772.42 / $1,197.25 / $1,738.04	Professional		$772.42	$1,197.25	$1,738.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $830.15 / $1,197.25 / $1,655.05	Professional		$830.15	$1,197.25	$1,655.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $719.08 / $940.67 / $1,247.40	Professional		$719.08	$940.67	$1,247.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,792.00	Facility		$1,480.00	$3,086.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $840.19 / $1,083.26 / $1,787.42	Professional		$840.19	$1,083.26	$1,787.42