Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $780.66 / $2,547.00 / $10,635.00	Facility		$780.66	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.74 / $524.99 / $1,445.58	Professional		$523.74	$524.99	$1,445.58
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 $452.74 / $647.09 / $1,074.64	Professional		$452.74	$647.09	$1,074.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $498.53 / $598.24 / $934.74	Facility		$498.53	$598.24	$934.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $548.38 / $638.03 / $972.14	Professional		$548.38	$638.03	$972.14
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 $497.00 / $752.02 / $1,079.54	Professional		$497.00	$752.02	$1,079.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $510.49 / $765.25 / $1,043.03	Professional		$510.49	$765.25	$1,043.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $449.81 / $597.64 / $793.06	Professional		$449.81	$597.64	$793.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,952.00 / $4,132.00	Facility		$1,020.00	$1,952.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $514.21 / $691.53 / $1,188.53	Professional		$514.21	$691.53	$1,188.53