Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.76 / $4,723.00 / $11,627.00	Facility		$430.76	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.76 / $479.37 / $1,259.25	Professional		$430.76	$479.37	$1,259.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,199.00 / $7,180.00 / $30,285.00	Facility		$3,199.00	$7,180.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $476.24 / $650.78 / $1,118.03	Professional		$476.24	$650.78	$1,118.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $817.02 / $817.02 / $817.02	Facility		$817.02	$817.02	$817.02
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 $477.73 / $718.99 / $1,437.48	Professional		$477.73	$718.99	$1,437.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $539.12 / $739.91 / $1,437.48	Professional		$539.12	$739.91	$1,437.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $313.05 / $750.72	Professional		$50.00	$313.05	$750.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $3,098.00 / $6,792.00	Facility		$1,771.00	$3,098.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $490.45 / $673.38 / $1,016.12	Professional		$490.45	$673.38	$1,016.12