Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.35 / $2,816.00 / $9,516.00	Facility		$348.35	$2,816.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.28 / $369.13 / $654.52	Professional		$252.28	$369.13	$654.52
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 $242.83 / $354.88 / $598.32	Professional		$242.83	$354.88	$598.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $279.64 / $407.18 / $407.18	Facility		$279.64	$407.18	$407.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $314.86 / $413.72 / $413.72	Professional		$314.86	$413.72	$413.72
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 $260.85 / $412.05 / $678.23	Professional		$260.85	$412.05	$678.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $287.86 / $437.68 / $677.31	Professional		$287.86	$437.68	$677.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $374.88 / $567.82	Professional		$33.75	$374.88	$567.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,138.00 / $6,522.00	Facility		$2,233.00	$4,138.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $313.76 / $420.80 / $704.83	Professional		$313.76	$420.80	$704.83