Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.11 / $2,113.00 / $10,268.00	Facility		$124.11	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.57 / $124.11 / $248.23	Professional		$97.57	$124.11	$248.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $128.43 / $221.84	Professional		$92.03	$128.43	$221.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.01 / $110.41 / $172.52	Facility		$92.01	$110.41	$172.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.44 / $135.38 / $227.69	Professional		$128.44	$135.38	$227.69
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 $105.81 / $151.79 / $244.51	Professional		$105.81	$151.79	$244.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $108.32 / $154.81 / $244.51	Professional		$108.32	$154.81	$244.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.74 / $157.60 / $210.19	Professional		$117.74	$157.60	$210.19
United Facility/Professional Facility Modifier Low / Median / High Price $467.00 / $975.00 / $3,218.00	Facility		$467.00	$975.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.64 / $154.94 / $271.20	Professional		$116.64	$154.94	$271.20