Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,359.53 / $5,887.00 / $11,581.00	Facility		$1,359.53	$5,887.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $639.66 / $837.98 / $1,493.64	Professional		$639.66	$837.98	$1,493.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,291.00 / $5,129.00 / $25,522.00	Facility		$2,291.00	$5,129.00	$25,522.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $637.11 / $866.26 / $1,503.15	Professional		$637.11	$866.26	$1,503.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $755.85 / $907.02 / $1,122.64	Facility		$755.85	$907.02	$1,122.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $644.91 / $831.44 / $831.44	Professional		$644.91	$831.44	$831.44
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 $594.54 / $1,058.19 / $1,587.29	Professional		$594.54	$1,058.19	$1,587.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $629.49 / $1,082.42 / $1,589.17	Professional		$629.49	$1,082.42	$1,589.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $156.84 / $518.77 / $967.02	Professional		$156.84	$518.77	$967.02
United Facility/Professional Facility Modifier Low / Median / High Price $4,227.00 / $8,796.00 / $13,382.00	Facility		$4,227.00	$8,796.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $715.37 / $1,012.52 / $1,636.73	Professional		$715.37	$1,012.52	$1,636.73