Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,435.94 / $6,434.10 / $10,817.74	Facility		$1,435.94	$6,434.10	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $965.66 / $965.66 / $3,122.37	Professional		$965.66	$965.66	$3,122.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,191.00 / $3,175.00 / $8,800.00	Facility		$1,191.00	$3,175.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $790.49 / $1,041.93 / $1,831.55	Professional		$790.49	$1,041.93	$1,831.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $890.47 / $1,068.56 / $1,322.58	Facility		$890.47	$1,068.56	$1,322.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $979.52 / $979.52 / $1,044.29	Professional		$979.52	$979.52	$1,044.29
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 $754.83 / $1,249.67 / $1,916.39	Professional		$754.83	$1,249.67	$1,916.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $890.47 / $1,339.17 / $1,851.58	Professional		$890.47	$1,339.17	$1,851.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $917.68 / $1,299.81	Professional		$115.97	$917.68	$1,299.81
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 $866.75 / $1,202.13 / $1,983.47	Professional		$866.75	$1,202.13	$1,983.47