Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $581.37 / $3,023.00 / $9,516.00	Facility		$581.37	$3,023.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.27 / $564.91 / $1,180.18	Professional		$260.27	$564.91	$1,180.18
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 $222.52 / $597.35 / $3,269.11	Professional		$222.52	$597.35	$3,269.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $247.03 / $296.44 / $393.71	Facility		$247.03	$296.44	$393.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $578.37 / $578.37 / $1,025.30	Professional		$578.37	$578.37	$1,025.30
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 $276.64 / $512.92 / $999.01	Professional		$276.64	$512.92	$999.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $287.99 / $518.76 / $1,061.15	Professional		$287.99	$518.76	$1,061.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $527.30 / $701.27 / $936.88	Professional		$527.30	$701.27	$936.88
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 $533.79 / $761.99 / $1,439.32	Professional		$533.79	$761.99	$1,439.32