Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $639.59 / $3,698.00 / $10,268.00	Facility		$639.59	$3,698.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.69 / $368.52 / $699.08	Professional		$367.69	$368.52	$699.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $3,555.00 / $19,117.00	Facility		$2,003.00	$3,555.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.57 / $376.02 / $634.19	Professional		$272.57	$376.02	$634.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $340.82 / $408.98 / $639.04	Facility		$340.82	$408.98	$639.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $374.90 / $374.90 / $664.61	Professional		$374.90	$374.90	$664.61
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 $302.00 / $477.15 / $723.09	Professional		$302.00	$477.15	$723.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $306.42 / $502.84 / $698.64	Professional		$306.42	$502.84	$698.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $389.68 / $541.83	Professional		$41.14	$389.68	$541.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $323.44 / $464.20 / $743.17	Professional		$323.44	$464.20	$743.17