Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.11 / $5,201.00 / $11,627.00	Facility		$633.11	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.76 / $425.76 / $956.74	Professional		$425.76	$425.76	$956.74
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 $329.41 / $446.43 / $754.45	Professional		$329.41	$446.43	$754.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $392.95 / $471.54 / $583.63	Facility		$392.95	$471.54	$583.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $421.55 / $432.25 / $432.25	Professional		$421.55	$432.25	$432.25
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 $333.75 / $550.14 / $838.50	Professional		$333.75	$550.14	$838.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $392.95 / $591.23 / $810.14	Professional		$392.95	$591.23	$810.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.63 / $429.52 / $597.33	Professional		$46.63	$429.52	$597.33
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 $378.84 / $519.41 / $866.47	Professional		$378.84	$519.41	$866.47