Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.86 / $2,849.00 / $10,268.00	Facility		$426.86	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.02 / $426.86 / $754.83	Professional		$277.02	$426.86	$754.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,012.00 / $3,943.00	Facility		$937.00	$2,012.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.40 / $369.98 / $664.82	Professional		$250.40	$369.98	$664.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $306.80 / $446.75 / $446.75	Facility		$306.80	$446.75	$446.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $370.61 / $505.58 / $505.58	Professional		$370.61	$505.58	$505.58
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 $314.88 / $466.02 / $804.33	Professional		$314.88	$466.02	$804.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $315.83 / $480.90 / $775.60	Professional		$315.83	$480.90	$775.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $452.35 / $689.56	Professional		$33.75	$452.35	$689.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,930.00 / $4,067.00	Facility		$1,020.00	$1,930.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $380.30 / $507.06 / $881.47	Professional		$380.30	$507.06	$881.47