Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.43 / $1,657.61 / $11,581.00	Facility		$78.43	$1,657.61	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.78 / $129.52 / $230.54	Professional		$58.78	$129.52	$230.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.23 / $70.09 / $128.25	Professional		$53.23	$70.09	$128.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.72 / $72.86 / $113.85	Facility		$60.72	$72.86	$113.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $141.34 / $141.34 / $250.56	Professional		$141.34	$141.34	$250.56
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 $69.81 / $135.90 / $261.89	Professional		$69.81	$135.90	$261.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $72.86 / $154.19 / $268.99	Professional		$72.86	$154.19	$268.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.80 / $155.32 / $209.77	Professional		$114.80	$155.32	$209.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,098.57 / $2,251.00 / $4,951.00	Facility		$1,098.57	$2,251.00	$4,951.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.89 / $172.81 / $294.94	Professional		$117.89	$172.81	$294.94