Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.52 / $4,723.00 / $11,627.00	Facility		$388.52	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.52 / $543.91 / $966.52	Professional		$388.52	$543.91	$966.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,722.00 / $7,755.10 / $13,314.43	Facility		$2,722.00	$7,755.10	$13,314.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.96 / $727.99 / $1,244.32	Professional		$467.96	$727.99	$1,244.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $458.21 / $551.29 / $682.34	Facility		$458.21	$551.29	$682.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $505.35 / $505.35 / $533.29	Professional		$505.35	$505.35	$533.29
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 $427.67 / $643.16 / $967.52	Professional		$427.67	$643.16	$967.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $442.76 / $705.19 / $967.52	Professional		$442.76	$705.19	$967.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $454.38 / $599.78 / $794.65	Professional		$454.38	$599.78	$794.65
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 $455.30 / $615.29 / $1,041.55	Professional		$455.30	$615.29	$1,041.55