Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.34 / $4,723.00 / $11,627.00	Facility		$524.34	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.34 / $528.41 / $1,029.89	Professional		$524.34	$528.41	$1,029.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.99 / $1,831.00 / $3,840.45	Facility		$870.99	$1,831.00	$3,840.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $435.80 / $592.82 / $1,023.11	Professional		$435.80	$592.82	$1,023.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.64 / $457.64 / $666.39	Facility		$457.64	$457.64	$666.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $493.54 / $493.54 / $598.04	Professional		$493.54	$493.54	$598.04
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 $462.09 / $695.44 / $1,015.00	Professional		$462.09	$695.44	$1,015.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $469.20 / $701.62 / $980.70	Professional		$469.20	$701.62	$980.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $479.49 / $659.34	Professional		$46.00	$479.49	$659.34
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 $478.19 / $642.07 / $966.01	Professional		$478.19	$642.07	$966.01