Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $940.68 / $5,355.00 / $10,817.74	Facility		$940.68	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $615.26 / $632.60 / $1,708.20	Professional		$615.26	$632.60	$1,708.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,142.00 / $19,117.00	Facility		$2,003.00	$4,142.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $494.60 / $672.99 / $1,202.25	Professional		$494.60	$672.99	$1,202.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $600.94 / $721.13 / $892.56	Facility		$600.94	$721.13	$892.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $606.34 / $661.03 / $661.03	Professional		$606.34	$661.03	$661.03
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 $509.81 / $841.31 / $1,286.00	Professional		$509.81	$841.31	$1,286.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $591.63 / $902.63 / $1,242.51	Professional		$591.63	$902.63	$1,242.51
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 $2,233.00 / $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 $611.29 / $811.27 / $1,402.54	Professional		$611.29	$811.27	$1,402.54