Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.46 / $2,547.00 / $10,635.00	Facility		$525.46	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.19 / $353.37 / $972.76	Professional		$353.19	$353.37	$972.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,485.00 / $3,092.00 / $14,996.00	Facility		$1,485.00	$3,092.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.98 / $400.54 / $739.54	Professional		$303.98	$400.54	$739.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $335.73 / $402.88 / $629.49	Facility		$335.73	$402.88	$629.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $369.30 / $369.30 / $654.67	Professional		$369.30	$369.30	$654.67
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 $340.91 / $473.71 / $725.33	Professional		$340.91	$473.71	$725.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $348.05 / $515.35 / $700.80	Professional		$348.05	$515.35	$700.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $330.23 / $438.69 / $582.76	Professional		$330.23	$438.69	$582.76
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 $344.22 / $465.61 / $800.52	Professional		$344.22	$465.61	$800.52