Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $4,263.18 / $10,268.00	Facility		$950.00	$4,263.18	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.78 / $766.78 / $2,473.77	Professional		$766.78	$766.78	$2,473.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,967.00 / $14,996.00	Facility		$1,712.00	$3,967.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $624.70 / $843.24 / $1,465.48	Professional		$624.70	$843.24	$1,465.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $706.98 / $848.38 / $1,050.04	Facility		$706.98	$848.38	$1,050.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $777.68 / $777.68 / $805.91	Professional		$777.68	$777.68	$805.91
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 $606.48 / $1,017.58 / $1,520.61	Professional		$606.48	$1,017.58	$1,520.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $706.98 / $1,074.83 / $1,473.99	Professional		$706.98	$1,074.83	$1,473.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $724.57 / $1,048.45	Professional		$75.93	$724.57	$1,048.45
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,578.00 / $10,075.00	Facility		$3,206.00	$6,578.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $691.50 / $929.99 / $1,571.50	Professional		$691.50	$929.99	$1,571.50