Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.33 / $3,660.00 / $11,581.00	Facility		$732.33	$3,660.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $492.49 / $492.49 / $760.92	Professional		$492.49	$492.49	$760.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,528.00 / $14,996.00	Facility		$1,760.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $397.42 / $537.69 / $862.22	Professional		$397.42	$537.69	$862.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $497.46 / $596.95 / $738.85	Facility		$497.46	$596.95	$738.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $514.77 / $547.21 / $547.21	Professional		$514.77	$547.21	$547.21
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 $414.02 / $692.56 / $995.62	Professional		$414.02	$692.56	$995.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $469.90 / $696.45 / $995.62	Professional		$469.90	$696.45	$995.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.28 / $504.88 / $724.64	Professional		$75.28	$504.88	$724.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,874.00 / $6,111.00 / $7,821.00	Facility		$2,874.00	$6,111.00	$7,821.00
United Facility/Professional Professional Modifier Low / Median / High Price $462.73 / $632.76 / $1,013.61	Professional		$462.73	$632.76	$1,013.61