Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $697.45 / $3,325.00 / $10,635.00	Facility		$697.45	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.03 / $489.83 / $1,136.56	Professional		$469.03	$489.83	$1,136.56
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 $489.37 / $647.84 / $1,148.88	Professional		$489.37	$647.84	$1,148.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $555.15 / $666.18 / $824.55	Facility		$555.15	$666.18	$824.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $610.66 / $610.66 / $625.78	Professional		$610.66	$610.66	$625.78
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 $506.77 / $768.28 / $1,076.54	Professional		$506.77	$768.28	$1,076.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $521.84 / $777.20 / $1,076.54	Professional		$521.84	$777.20	$1,076.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.40 / $405.91 / $700.30	Professional		$116.40	$405.91	$700.30
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 $514.78 / $684.44 / $1,213.33	Professional		$514.78	$684.44	$1,213.33