Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.78 / $2,849.00 / $10,268.00	Facility		$446.78	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.75 / $446.78 / $781.98	Professional		$288.75	$446.78	$781.98
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 $229.52 / $360.07 / $694.54	Professional		$229.52	$360.07	$694.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $321.61 / $502.52 / $591.20	Facility		$321.61	$502.52	$591.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $389.98 / $529.98 / $939.51	Professional		$389.98	$529.98	$939.51
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 $317.77 / $485.18 / $843.14	Professional		$317.77	$485.18	$843.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $325.44 / $493.15 / $813.69	Professional		$325.44	$493.15	$813.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $372.63 / $633.04	Professional		$36.50	$372.63	$633.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,115.58 / $3,538.00 / $6,238.00	Facility		$2,115.58	$3,538.00	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $353.47 / $524.74 / $868.74	Professional		$353.47	$524.74	$868.74