Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.69 / $5,355.00 / $10,817.74	Facility		$624.69	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.72 / $420.10 / $1,129.54	Professional		$413.72	$420.10	$1,129.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,090.00 / $2,191.00 / $4,072.00	Facility		$1,090.00	$2,191.00	$4,072.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.24 / $512.22 / $932.74	Professional		$392.24	$512.22	$932.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $398.61 / $478.33 / $592.03	Facility		$398.61	$478.33	$592.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $419.42 / $438.47 / $438.47	Professional		$419.42	$438.47	$438.47
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 $361.20 / $580.91 / $853.07	Professional		$361.20	$580.91	$853.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $398.61 / $605.04 / $883.17	Professional		$398.61	$605.04	$883.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.78 / $451.89 / $625.99	Professional		$46.78	$451.89	$625.99
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 $414.23 / $557.95 / $994.70	Professional		$414.23	$557.95	$994.70