Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.54 / $2,547.00 / $9,504.00	Facility		$200.54	$2,547.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.86 / $197.87 / $342.30	Professional		$134.86	$197.87	$342.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,722.00 / $8,800.00	Facility		$1,145.00	$2,722.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.57 / $178.38 / $318.88	Professional		$97.57	$178.38	$318.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.81 / $149.77 / $185.37	Facility		$124.81	$149.77	$185.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $161.44 / $198.88 / $198.88	Professional		$161.44	$198.88	$198.88
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 $139.88 / $218.96 / $350.93	Professional		$139.88	$218.96	$350.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $145.52 / $230.25 / $373.89	Professional		$145.52	$230.25	$373.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $156.38 / $214.33 / $295.90	Professional		$156.38	$214.33	$295.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $2,869.00 / $5,457.00	Facility		$1,771.00	$2,869.00	$5,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.36 / $226.85 / $384.07	Professional		$165.36	$226.85	$384.07