Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $665.70 / $3,983.00 / $9,863.00	Facility		$665.70	$3,983.00	$9,863.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.00 / $422.40 / $1,238.60	Professional		$370.00	$422.40	$1,238.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.70 / $415.99 / $684.93	Professional		$315.70	$415.99	$684.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $357.90 / $357.90 / $521.15	Facility		$357.90	$357.90	$521.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $380.44 / $385.97 / $385.97	Professional		$380.44	$385.97	$385.97
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 $364.92 / $494.54 / $742.38	Professional		$364.92	$494.54	$742.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $380.96 / $534.58 / $701.10	Professional		$380.96	$534.58	$701.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $344.81 / $477.43	Professional		$40.54	$344.81	$477.43
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 $381.11 / $486.41 / $826.89	Professional		$381.11	$486.41	$826.89