Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $470.25 / $3,325.00 / $10,635.00	Facility		$470.25	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.24 / $316.24 / $946.27	Professional		$316.24	$316.24	$946.27
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 $318.75 / $440.64 / $748.33	Professional		$318.75	$440.64	$748.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $374.75 / $449.70 / $556.60	Facility		$374.75	$449.70	$556.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $396.93 / $412.23 / $412.23	Professional		$396.93	$412.23	$412.23
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 $337.30 / $506.12 / $725.03	Professional		$337.30	$506.12	$725.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $349.20 / $524.66 / $725.03	Professional		$349.20	$524.66	$725.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $333.06 / $519.57	Professional		$75.93	$333.06	$519.57
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 $345.23 / $466.98 / $821.46	Professional		$345.23	$466.98	$821.46