Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.00 / $1,431.84 / $1,745.84	Facility		$628.00	$1,431.84	$1,745.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.00 / $628.00 / $883.42	Professional		$628.00	$628.00	$883.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.07	Facility		$0.02	$0.03	$0.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $753.92 / $945.49 / $1,535.85	Professional		$753.92	$945.49	$1,535.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,037.41 / $1,267.43 / $1,549.09	Facility		$1,037.41	$1,267.43	$1,549.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $876.07 / $876.07 / $876.07	Facility		$876.07	$876.07	$876.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.07 / $876.07 / $876.07	Professional		$876.07	$876.07	$876.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $876.07 / $876.07 / $876.07	Professional		$876.07	$876.07	$876.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.93 / $140.96 / $226.30	Professional		$129.93	$140.96	$226.30
United Facility/Professional Professional Modifier Low / Median / High Price $886.96 / $886.96 / $975.66	Professional		$886.96	$886.96	$975.66