Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.12 / $4,947.00 / $11,627.00	Facility		$945.12	$4,947.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $635.59 / $635.59 / $1,321.75	Professional		$635.59	$635.59	$1,321.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,291.00 / $4,966.00 / $25,522.00	Facility		$2,291.00	$4,966.00	$25,522.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $509.37 / $684.50 / $1,222.81	Professional		$509.37	$684.50	$1,222.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $604.10 / $724.92 / $897.24	Facility		$604.10	$724.92	$897.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $664.51 / $664.51 / $682.78	Professional		$664.51	$664.51	$682.78
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 $549.61 / $845.74 / $1,293.78	Professional		$549.61	$845.74	$1,293.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $604.10 / $919.28 / $1,262.84	Professional		$604.10	$919.28	$1,262.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $626.91 / $889.32	Professional		$75.89	$626.91	$889.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,998.00 / $7,847.00	Facility		$2,840.00	$5,998.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $604.39 / $775.92 / $1,412.82	Professional		$604.39	$775.92	$1,412.82