Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.26 / $2,849.00 / $10,268.00	Facility		$613.26	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.22 / $613.26 / $1,465.16	Professional		$559.22	$613.26	$1,465.16
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 $520.17 / $696.06 / $1,229.28	Professional		$520.17	$696.06	$1,229.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $619.39 / $901.92 / $901.92	Facility		$619.39	$901.92	$901.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $697.42 / $729.25 / $729.25	Professional		$697.42	$729.25	$729.25
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 $567.78 / $795.54 / $1,313.52	Professional		$567.78	$795.54	$1,313.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $589.45 / $861.83 / $1,299.52	Professional		$589.45	$861.83	$1,299.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.49 / $531.14 / $862.72	Professional		$75.49	$531.14	$862.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,725.00 / $2,740.00 / $5,457.00	Facility		$1,725.00	$2,740.00	$5,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $569.54 / $758.85 / $1,266.25	Professional		$569.54	$758.85	$1,266.25