Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.89 / $2,849.00 / $9,504.00	Facility		$361.89	$2,849.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.37 / $353.46 / $579.10	Professional		$243.37	$353.46	$579.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.48 / $339.93 / $575.20	Professional		$236.48	$339.93	$575.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $269.86 / $392.96 / $392.96	Facility		$269.86	$392.96	$392.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $320.43 / $395.41 / $395.41	Professional		$320.43	$395.41	$395.41
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 $259.27 / $395.40 / $654.29	Professional		$259.27	$395.40	$654.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $277.80 / $419.21 / $646.29	Professional		$277.80	$419.21	$646.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $349.77 / $536.67	Professional		$33.75	$349.77	$536.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,551.00 / $5,235.00	Facility		$1,689.00	$2,551.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $303.89 / $403.48 / $687.17	Professional		$303.89	$403.48	$687.17