Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,190.83 / $6,410.00 / $11,581.00	Facility		$1,190.83	$6,410.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.52 / $800.83 / $2,579.14	Professional		$765.52	$800.83	$2,579.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,576.00 / $14,996.00	Facility		$1,712.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.91 / $863.14 / $1,517.30	Professional		$645.91	$863.14	$1,517.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $738.86 / $886.63 / $1,097.39	Facility		$738.86	$886.63	$1,097.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $812.75 / $812.75 / $823.75	Professional		$812.75	$812.75	$823.75
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 $626.41 / $1,034.40 / $1,589.28	Professional		$626.41	$1,034.40	$1,589.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $738.86 / $1,120.36 / $1,535.52	Professional		$738.86	$1,120.36	$1,535.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $755.42 / $1,106.68	Professional		$75.89	$755.42	$1,106.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,549.42 / $4,956.00 / $7,778.00	Facility		$2,549.42	$4,956.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $720.22 / $997.46 / $1,657.12	Professional		$720.22	$997.46	$1,657.12