Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $941.01 / $4,723.00 / $11,627.00	Facility		$941.01	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $923.68 / $941.01 / $1,866.05	Professional		$923.68	$941.01	$1,866.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,315.00 / $8,450.20 / $15,206.26	Facility		$3,315.00	$8,450.20	$15,206.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.37 / $1,018.90 / $1,778.34	Professional		$758.37	$1,018.90	$1,778.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $893.34 / $1,072.01 / $1,675.02	Facility		$893.34	$1,072.01	$1,675.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $982.67 / $1,022.26 / $1,742.01	Professional		$982.67	$1,022.26	$1,742.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,088.72 / $1,311.60 / $1,311.60	Professional		$1,088.72	$1,311.60	$1,311.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,494.33 / $1,633.91 / $1,633.91	Professional		$1,494.33	$1,633.91	$1,633.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $829.41 / $1,287.20	Professional		$78.29	$829.41	$1,287.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $838.13 / $1,182.30 / $2,025.97	Professional		$838.13	$1,182.30	$2,025.97