Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $899.92 / $4,723.00 / $11,627.00	Facility		$899.92	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $899.92 / $899.92 / $1,840.73	Professional		$899.92	$899.92	$1,840.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,405.00 / $7,949.51 / $14,996.00	Facility		$3,405.00	$7,949.51	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $770.26 / $1,096.25 / $1,741.06	Professional		$770.26	$1,096.25	$1,741.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $952.28 / $1,146.00 / $1,418.42	Facility		$952.28	$1,146.00	$1,418.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $923.03 / $1,050.50 / $1,050.50	Professional		$923.03	$1,050.50	$1,050.50
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 $851.32 / $1,319.30 / $2,018.68	Professional		$851.32	$1,319.30	$2,018.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $907.11 / $1,337.00 / $2,018.68	Professional		$907.11	$1,337.00	$2,018.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.54 / $825.30 / $1,349.90	Professional		$117.54	$825.30	$1,349.90
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 $942.35 / $1,279.83 / $2,167.35	Professional		$942.35	$1,279.83	$2,167.35