Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $598.27 / $3,325.00 / $10,635.00	Facility		$598.27	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.33 / $411.13 / $938.04	Professional		$402.33	$411.13	$938.04
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 $416.94 / $564.09 / $979.57	Professional		$416.94	$564.09	$979.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $475.82 / $570.98 / $706.71	Facility		$475.82	$570.98	$706.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $510.48 / $523.40 / $523.40	Professional		$510.48	$523.40	$523.40
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 $432.26 / $666.14 / $996.43	Professional		$432.26	$666.14	$996.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $447.27 / $704.21 / $996.43	Professional		$447.27	$704.21	$996.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $348.49 / $633.30	Professional		$78.92	$348.49	$633.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,665.00 / $5,268.00	Facility		$1,689.00	$2,665.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $453.01 / $622.77 / $1,031.83	Professional		$453.01	$622.77	$1,031.83