Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.89 / $2,849.00 / $10,268.00	Facility		$427.89	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.95 / $427.89 / $733.83	Professional		$261.95	$427.89	$733.83
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 $242.51 / $361.80 / $657.50	Professional		$242.51	$361.80	$657.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $289.73 / $421.89 / $421.89	Facility		$289.73	$421.89	$421.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $370.61 / $504.35 / $504.35	Professional		$370.61	$504.35	$504.35
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 $300.00 / $455.92 / $802.38	Professional		$300.00	$455.92	$802.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $300.56 / $461.12 / $773.61	Professional		$300.56	$461.12	$773.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $472.38 / $712.19	Professional		$33.45	$472.38	$712.19
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $975.00 / $2,914.00	Facility		$444.00	$975.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $366.73 / $502.37 / $832.39	Professional		$366.73	$502.37	$832.39