Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.16 / $2,547.00 / $10,635.00	Facility		$105.16	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.72 / $75.95 / $204.01	Professional		$70.72	$75.95	$204.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,051.00 / $2,012.00 / $3,943.00	Facility		$1,051.00	$2,012.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.32 / $106.59 / $202.66	Professional		$86.32	$106.59	$202.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.95 / $91.15 / $112.82	Facility		$75.95	$91.15	$112.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.56 / $83.56 / $110.10	Professional		$83.56	$83.56	$110.10
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 $91.09 / $129.40 / $259.22	Professional		$91.09	$129.40	$259.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $91.15 / $130.06 / $259.22	Professional		$91.15	$130.06	$259.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.49 / $119.08 / $159.68	Professional		$90.49	$119.08	$159.68
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $81.63 / $117.38 / $185.95	Professional		$81.63	$117.38	$185.95