Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $620.95 / $4,112.55 / $10,268.00	Facility		$620.95	$4,112.55	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.51 / $1,335.73 / $2,331.17	Professional		$379.51	$1,335.73	$2,331.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,528.00 / $14,996.00	Facility		$1,760.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.64 / $1,173.53 / $2,459.08	Professional		$350.64	$1,173.53	$2,459.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $331.16 / $331.16 / $482.23	Facility		$331.16	$331.16	$482.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,151.97 / $1,215.80 / $1,215.80	Professional		$1,151.97	$1,215.80	$1,215.80
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 $342.79 / $773.32 / $2,445.42	Professional		$342.79	$773.32	$2,445.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $389.61 / $836.42 / $2,334.50	Professional		$389.61	$836.42	$2,334.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,045.65 / $1,378.36 / $1,891.21	Professional		$1,045.65	$1,378.36	$1,891.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,920.00 / $7,847.00	Facility		$2,840.00	$5,920.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,312.78 / $1,901.16 / $3,014.03	Professional		$1,312.78	$1,901.16	$3,014.03