Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.23 / $5,355.00 / $10,817.74	Facility		$426.23	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.85 / $286.64 / $785.50	Professional		$285.85	$286.64	$785.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.99 / $346.59 / $568.17	Professional		$243.99	$346.59	$568.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $271.86 / $326.23 / $403.78	Facility		$271.86	$326.23	$403.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $299.05 / $299.05 / $329.19	Professional		$299.05	$299.05	$329.19
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 $251.26 / $395.50 / $588.24	Professional		$251.26	$395.50	$588.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $271.86 / $417.31 / $568.35	Professional		$271.86	$417.31	$568.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $271.16 / $359.77 / $478.85	Professional		$271.16	$359.77	$478.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $279.83 / $367.01 / $638.67	Professional		$279.83	$367.01	$638.67