Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.76 / $2,905.00 / $10,268.00	Facility		$750.76	$2,905.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.50 / $750.76 / $1,717.41	Professional		$655.50	$750.76	$1,717.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,264.00 / $14,996.00	Facility		$1,712.00	$3,264.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $652.49 / $841.90 / $1,502.85	Professional		$652.49	$841.90	$1,502.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $726.64 / $1,058.08 / $1,058.08	Facility		$726.64	$1,058.08	$1,058.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $845.64 / $892.21 / $892.21	Professional		$845.64	$892.21	$892.21
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 $666.08 / $973.32 / $1,580.71	Professional		$666.08	$973.32	$1,580.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $719.95 / $1,054.43 / $1,531.35	Professional		$719.95	$1,054.43	$1,531.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $632.69 / $1,078.09	Professional		$75.89	$632.69	$1,078.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,513.00 / $7,847.00	Facility		$2,840.00	$5,513.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $686.48 / $932.77 / $1,585.69	Professional		$686.48	$932.77	$1,585.69