Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $731.14 / $1,718.18 / $1,908.28	Facility		$731.14	$1,718.18	$1,908.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $731.14 / $731.14 / $776.84	Professional		$731.14	$731.14	$776.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $401.94 / $667.49 / $1,782.17	Facility		$401.94	$667.49	$1,782.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $822.53 / $1,606.99	Professional		$0.02	$822.53	$1,606.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59,702.01 / $59,702.01 / $59,702.01	Facility		$59,702.01	$59,702.01	$59,702.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.84 / $776.84 / $776.84	Facility		$776.84	$776.84	$776.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.84 / $776.84 / $913.93	Professional		$776.84	$776.84	$913.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $776.84 / $776.84 / $913.93	Professional		$776.84	$776.84	$913.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $60.00	Professional		$30.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $761.61 / $761.61 / $991.62	Professional		$761.61	$761.61	$991.62