Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.06 / $2,936.00 / $9,516.00	Facility		$201.06	$2,936.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.16 / $201.06 / $386.03	Professional		$144.16	$201.06	$386.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.01 / $193.93 / $338.09	Professional		$118.01	$193.93	$338.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $133.38 / $160.06 / $198.10	Facility		$133.38	$160.06	$198.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $143.97 / $202.80 / $202.80	Professional		$143.97	$202.80	$202.80
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 $150.79 / $228.00 / $365.79	Professional		$150.79	$228.00	$365.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $236.11 / $382.32	Professional		$156.00	$236.11	$382.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $195.97 / $260.38	Professional		$145.00	$195.97	$260.38
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 $181.50 / $250.38 / $398.41	Professional		$181.50	$250.38	$398.41