Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.17 / $5,201.00 / $11,627.00	Facility		$351.17	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.47 / $236.16 / $648.19	Professional		$235.47	$236.16	$648.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,794.00 / $3,576.00 / $14,996.00	Facility		$1,794.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.16 / $288.04 / $472.19	Professional		$201.16	$288.04	$472.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $224.57 / $269.48 / $333.54	Facility		$224.57	$269.48	$333.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $247.03 / $247.03 / $269.48	Professional		$247.03	$247.03	$269.48
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 $213.00 / $321.76 / $484.25	Professional		$213.00	$321.76	$484.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $229.32 / $344.72 / $467.88	Professional		$229.32	$344.72	$467.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $211.76 / $278.90 / $370.72	Professional		$211.76	$278.90	$370.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,549.42 / $3,724.00 / $6,238.00	Facility		$2,549.42	$3,724.00	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $231.24 / $309.55 / $513.42	Professional		$231.24	$309.55	$513.42