Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,575.00 / $7,881.00 / $11,754.00	Facility		$1,575.00	$7,881.00	$11,754.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $845.02 / $990.10 / $1,707.47	Professional		$845.02	$990.10	$1,707.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,426.00 / $12,098.50 / $21,233.00	Facility		$4,426.00	$12,098.50	$21,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $737.07 / $1,023.23 / $1,750.68	Professional		$737.07	$1,023.23	$1,750.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $872.46 / $1,046.95 / $1,295.82	Facility		$872.46	$1,046.95	$1,295.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $773.86 / $959.71 / $959.71	Professional		$773.86	$959.71	$959.71
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 $766.74 / $1,221.45 / $1,862.27	Professional		$766.74	$1,221.45	$1,862.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $872.46 / $1,274.60 / $1,862.27	Professional		$872.46	$1,274.60	$1,862.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $859.63 / $1,261.46	Professional		$115.77	$859.63	$1,261.46
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 $864.00 / $1,177.82 / $1,976.87	Professional		$864.00	$1,177.82	$1,976.87