Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $5,703.00 / $11,627.00	Facility		$1,165.00	$5,703.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $808.30 / $808.30 / $2,639.42	Professional		$808.30	$808.30	$2,639.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,918.00 / $19,117.00	Facility		$2,003.00	$4,918.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.37 / $915.10 / $1,606.50	Professional		$676.37	$915.10	$1,606.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $783.61 / $940.33 / $1,163.85	Facility		$783.61	$940.33	$1,163.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $804.87 / $861.97 / $861.97	Professional		$804.87	$861.97	$861.97
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 $717.26 / $1,097.05 / $1,651.27	Professional		$717.26	$1,097.05	$1,651.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $783.61 / $1,156.70 / $1,651.27	Professional		$783.61	$1,156.70	$1,651.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $744.18 / $1,112.19	Professional		$115.97	$744.18	$1,112.19
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 $772.30 / $1,036.33 / $1,735.76	Professional		$772.30	$1,036.33	$1,735.76