Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.13 / $3,027.00 / $9,534.00	Facility		$327.13	$3,027.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.29 / $432.97 / $821.34	Professional		$354.29	$432.97	$821.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,093.00 / $7,313.00 / $17,584.00	Facility		$1,093.00	$7,313.00	$17,584.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $509.75 / $568.08 / $688.16	Facility		$509.75	$568.08	$688.16
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 $510.11 / $681.72 / $1,010.24	Professional		$510.11	$681.72	$1,010.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $512.61 / $714.16 / $1,028.90	Professional		$512.61	$714.16	$1,028.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $60.00 / $60.00	Professional		$30.00	$60.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00