Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.01 / $4,723.00 / $11,627.00	Facility		$497.01	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.01 / $504.40 / $2,093.96	Professional		$497.01	$504.40	$2,093.96
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 $512.78 / $640.97 / $1,109.90	Professional		$512.78	$640.97	$1,109.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $433.25 / $433.25 / $630.86	Facility		$433.25	$433.25	$630.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $467.23 / $467.23 / $643.98	Professional		$467.23	$467.23	$643.98
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 $469.20 / $721.40 / $1,191.33	Professional		$469.20	$721.40	$1,191.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $509.70 / $740.52 / $1,314.68	Professional		$509.70	$740.52	$1,314.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $389.78 / $511.48 / $675.57	Professional		$389.78	$511.48	$675.57
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 $573.41 / $842.44 / $1,193.33	Professional		$573.41	$842.44	$1,193.33