Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.54 / $3,325.00 / $10,635.00	Facility		$555.54	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.60 / $373.60 / $986.30	Professional		$373.60	$373.60	$986.30
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 $359.98 / $499.06 / $847.48	Professional		$359.98	$499.06	$847.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $440.26 / $528.30 / $653.90	Facility		$440.26	$528.30	$653.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $419.32 / $484.29 / $484.29	Professional		$419.32	$484.29	$484.29
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 $392.88 / $616.36 / $906.57	Professional		$392.88	$616.36	$906.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $403.16 / $625.50 / $908.60	Professional		$403.16	$625.50	$908.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $311.57 / $585.96	Professional		$78.29	$311.57	$585.96
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 $404.90 / $572.65 / $947.00	Professional		$404.90	$572.65	$947.00