Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $956.04 / $5,616.00 / $11,581.00	Facility		$956.04	$5,616.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.92 / $642.92 / $1,930.99	Professional		$642.92	$642.92	$1,930.99
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 $528.91 / $715.58 / $1,147.49	Professional		$528.91	$715.58	$1,147.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $560.03 / $815.48 / $1,029.47	Facility		$560.03	$815.48	$1,029.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $603.96 / $726.89 / $1,070.66	Professional		$603.96	$726.89	$1,070.66
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 $571.02 / $842.19 / $1,200.93	Professional		$571.02	$842.19	$1,200.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $596.45 / $851.03 / $1,160.31	Professional		$596.45	$851.03	$1,160.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $576.25 / $804.51	Professional		$45.95	$576.25	$804.51
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 $594.15 / $772.30 / $1,222.43	Professional		$594.15	$772.30	$1,222.43