Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.02 / $2,989.00 / $10,268.00	Facility		$136.02	$2,989.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.36 / $76.36 / $208.28	Professional		$76.36	$76.36	$208.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,722.00 / $8,800.00	Facility		$1,145.00	$2,722.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $86.76 / $165.92	Professional		$65.11	$86.76	$165.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.22 / $87.86 / $108.76	Facility		$73.22	$87.86	$108.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.54 / $80.54 / $101.34	Professional		$80.54	$80.54	$101.34
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 $80.54 / $113.49 / $241.44	Professional		$80.54	$113.49	$241.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $80.54 / $113.59 / $241.44	Professional		$80.54	$113.59	$241.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.87 / $78.80 / $105.09	Professional		$58.87	$78.80	$105.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,665.00 / $5,268.00	Facility		$1,689.00	$2,665.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.17 / $99.12 / $170.51	Professional		$75.17	$99.12	$170.51