Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.06 / $2,849.00 / $9,516.00	Facility		$331.06	$2,849.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.38 / $342.56 / $622.05	Professional		$275.38	$342.56	$622.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,405.00 / $14,996.00	Facility		$1,760.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.03 / $341.43 / $595.07	Professional		$239.03	$341.43	$595.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $306.92 / $446.92 / $446.92	Facility		$306.92	$446.92	$446.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $281.57 / $395.49 / $395.49	Professional		$281.57	$395.49	$395.49
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 $284.27 / $410.40 / $692.08	Professional		$284.27	$410.40	$692.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $315.95 / $441.84 / $674.52	Professional		$315.95	$441.84	$674.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $367.94 / $545.38	Professional		$33.75	$367.94	$545.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,466.00 / $4,321.00 / $7,351.00	Facility		$2,466.00	$4,321.00	$7,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $286.13 / $402.04 / $705.43	Professional		$286.13	$402.04	$705.43