Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.80 / $2,849.00 / $10,268.00	Facility		$500.80	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.63 / $538.70 / $880.47	Professional		$394.63	$538.70	$880.47
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 $334.57 / $484.70 / $848.53	Professional		$334.57	$484.70	$848.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $439.60 / $640.11 / $640.11	Facility		$439.60	$640.11	$640.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $435.61 / $594.33 / $594.33	Professional		$435.61	$594.33	$594.33
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 $402.96 / $594.33 / $991.25	Professional		$402.96	$594.33	$991.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $445.09 / $644.57 / $984.45	Professional		$445.09	$644.57	$984.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.25 / $436.52 / $747.15	Professional		$74.25	$436.52	$747.15
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 $453.44 / $605.22 / $1,003.60	Professional		$453.44	$605.22	$1,003.60