Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.59 / $2,485.00 / $9,534.00	Facility		$368.59	$2,485.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.10 / $1,453.35 / $3,056.22	Professional		$226.10	$1,453.35	$3,056.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.85 / $1,099.35 / $3,413.35	Professional		$181.85	$1,099.35	$3,413.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $197.78 / $197.78 / $288.00	Facility		$197.78	$197.78	$288.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,317.33 / $1,317.33 / $2,169.19	Professional		$1,317.33	$1,317.33	$2,169.19
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 $221.86 / $434.80 / $3,569.50	Professional		$221.86	$434.80	$3,569.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $222.99 / $411.42 / $3,448.77	Professional		$222.99	$411.42	$3,448.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,116.54 / $1,484.06 / $2,018.83	Professional		$1,116.54	$1,484.06	$2,018.83
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 $1,882.10 / $2,961.69 / $4,103.37	Professional		$1,882.10	$2,961.69	$4,103.37