Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.44 / $2,218.00 / $9,504.00	Facility		$237.44	$2,218.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.40 / $224.89 / $385.68	Professional		$173.40	$224.89	$385.68
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 $128.46 / $210.41 / $402.65	Professional		$128.46	$210.41	$402.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $163.47 / $196.16 / $242.80	Facility		$163.47	$196.16	$242.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.35 / $228.77 / $228.77	Professional		$213.35	$228.77	$228.77
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 $179.82 / $259.50 / $426.07	Professional		$179.82	$259.50	$426.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $182.59 / $267.95 / $427.31	Professional		$182.59	$267.95	$427.31
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 $1,689.00 / $2,665.00 / $5,268.00	Facility		$1,689.00	$2,665.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $182.89 / $271.54 / $445.04	Professional		$182.89	$271.54	$445.04