Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $981.24 / $5,217.00 / $11,627.00	Facility		$981.24	$5,217.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $659.88 / $659.88 / $1,742.08	Professional		$659.88	$659.88	$1,742.08
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 $650.15 / $874.70 / $1,526.33	Professional		$650.15	$874.70	$1,526.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $779.47 / $935.36 / $1,157.72	Facility		$779.47	$935.36	$1,157.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $667.64 / $857.42 / $857.42	Professional		$667.64	$857.42	$857.42
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 $707.82 / $1,091.25 / $1,636.88	Professional		$707.82	$1,091.25	$1,636.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $708.14 / $1,135.47 / $1,638.96	Professional		$708.14	$1,135.47	$1,638.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.63 / $571.00 / $1,026.87	Professional		$157.63	$571.00	$1,026.87
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 $738.48 / $1,043.23 / $1,723.83	Professional		$738.48	$1,043.23	$1,723.83