Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.13 / $2,006.00 / $9,504.00	Facility		$238.13	$2,006.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.09 / $321.94 / $629.30	Professional		$149.09	$321.94	$629.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,927.00 / $2,412.00 / $9,819.00	Facility		$1,927.00	$2,412.00	$9,819.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.40 / $312.82 / $592.95	Professional		$145.40	$312.82	$592.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.88 / $189.14 / $238.77	Facility		$129.88	$189.14	$238.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $299.22 / $400.37 / $530.45	Professional		$299.22	$400.37	$530.45
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 $146.27 / $313.92 / $588.99	Professional		$146.27	$313.92	$588.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $152.80 / $326.43 / $590.44	Professional		$152.80	$326.43	$590.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $287.46 / $380.41 / $507.29	Professional		$287.46	$380.41	$507.29
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $317.08 / $435.38 / $648.11	Professional		$317.08	$435.38	$648.11