Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,072.32 / $5,201.00 / $11,627.00	Facility		$1,072.32	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.88 / $721.13 / $1,903.78	Professional		$688.88	$721.13	$1,903.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,025.00 / $8,800.00	Facility		$1,152.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.01 / $764.55 / $1,324.77	Professional		$587.01	$764.55	$1,324.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $664.83 / $797.80 / $987.44	Facility		$664.83	$797.80	$987.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $731.31 / $731.31 / $765.89	Professional		$731.31	$731.31	$765.89
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 $563.84 / $930.76 / $1,430.23	Professional		$563.84	$930.76	$1,430.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $664.83 / $1,007.41 / $1,381.86	Professional		$664.83	$1,007.41	$1,381.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $675.43 / $968.53	Professional		$75.89	$675.43	$968.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,998.00 / $7,847.00	Facility		$2,840.00	$5,998.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $648.80 / $888.82 / $1,476.47	Professional		$648.80	$888.82	$1,476.47