Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $754.24 / $3,325.00 / $10,635.00	Facility		$754.24	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $507.22 / $507.22 / $1,522.53	Professional		$507.22	$507.22	$1,522.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,405.00 / $14,996.00	Facility		$1,760.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.71 / $508.94 / $857.91	Professional		$376.71	$508.94	$857.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $443.10 / $645.21 / $814.52	Facility		$443.10	$645.21	$814.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $432.82 / $477.85 / $847.10	Professional		$432.82	$477.85	$847.10
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 $434.41 / $608.17 / $944.83	Professional		$434.41	$608.17	$944.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $456.13 / $632.46 / $915.25	Professional		$456.13	$632.46	$915.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $455.75 / $628.90	Professional		$40.54	$455.75	$628.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,998.00 / $7,821.00	Facility		$2,840.00	$5,998.00	$7,821.00
United Facility/Professional Professional Modifier Low / Median / High Price $455.65 / $600.66 / $959.26	Professional		$455.65	$600.66	$959.26