Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.22 / $4,723.00 / $11,627.00	Facility		$490.22	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.22 / $490.22 / $971.62	Professional		$490.22	$490.22	$971.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,638.88 / $7,944.89 / $15,216.00	Facility		$3,638.88	$7,944.89	$15,216.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.06 / $508.06 / $913.38	Professional		$389.06	$508.06	$913.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $427.38 / $427.38 / $622.33	Facility		$427.38	$427.38	$622.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $428.18 / $460.90 / $460.90	Professional		$428.18	$460.90	$460.90
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 $404.33 / $590.66 / $927.65	Professional		$404.33	$590.66	$927.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $448.35 / $643.26 / $916.97	Professional		$448.35	$643.26	$916.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $362.23 / $471.62 / $623.54	Professional		$362.23	$471.62	$623.54
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 $453.69 / $584.65 / $927.52	Professional		$453.69	$584.65	$927.52