Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,257.10 / $8,037.00 / $11,754.00	Facility		$1,257.10	$8,037.00	$11,754.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $845.40 / $845.40 / $2,396.69	Professional		$845.40	$845.40	$2,396.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,437.00 / $19,117.00	Facility		$2,084.00	$4,437.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $745.11 / $1,066.88 / $1,809.23	Professional		$745.11	$1,066.88	$1,809.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $849.50 / $1,019.40 / $1,592.82	Facility		$849.50	$1,019.40	$1,592.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $934.45 / $950.01 / $1,656.53	Professional		$934.45	$950.01	$1,656.53
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 $723.67 / $1,189.30 / $1,817.94	Professional		$723.67	$1,189.30	$1,817.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $836.98 / $1,215.00 / $1,804.72	Professional		$836.98	$1,215.00	$1,804.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $749.34 / $1,229.73	Professional		$78.92	$749.34	$1,229.73
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,578.00 / $10,075.00	Facility		$3,206.00	$6,578.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $804.24 / $1,142.58 / $1,965.45	Professional		$804.24	$1,142.58	$1,965.45