Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.24 / $2,547.00 / $10,635.00	Facility		$155.24	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.40 / $109.52 / $264.77	Professional		$104.40	$109.52	$264.77
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 $110.04 / $142.40 / $258.33	Professional		$110.04	$142.40	$258.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.15 / $130.97 / $162.11	Facility		$109.15	$130.97	$162.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.07 / $120.07 / $148.85	Professional		$120.07	$120.07	$148.85
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 $130.97 / $181.75 / $290.00	Professional		$130.97	$181.75	$290.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $133.16 / $183.04 / $291.76	Professional		$133.16	$183.04	$291.76
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 $119.63 / $170.67 / $289.36	Professional		$119.63	$170.67	$289.36