Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.38 / $6,251.00 / $11,581.00	Facility		$1,159.38	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $779.68 / $779.68 / $1,960.97	Professional		$779.68	$779.68	$1,960.97
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 $558.74 / $803.19 / $1,445.31	Professional		$558.74	$803.19	$1,445.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $755.79 / $906.95 / $1,122.55	Facility		$755.79	$906.95	$1,122.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $641.08 / $831.37 / $831.37	Professional		$641.08	$831.37	$831.37
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 $639.39 / $1,058.10 / $1,593.40	Professional		$639.39	$1,058.10	$1,593.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $755.79 / $1,089.47 / $1,593.40	Professional		$755.79	$1,089.47	$1,593.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $732.18 / $1,064.01	Professional		$115.77	$732.18	$1,064.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $733.66 / $1,041.64 / $1,674.67	Professional		$733.66	$1,041.64	$1,674.67