Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $721.47 / $3,999.00 / $10,268.00	Facility		$721.47	$3,999.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.10 / $721.47 / $1,393.84	Professional		$583.10	$721.47	$1,393.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,025.00 / $8,800.00	Facility		$1,152.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $490.69 / $722.79 / $1,246.38	Professional		$490.69	$722.79	$1,246.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $645.79 / $940.36 / $940.36	Facility		$645.79	$940.36	$940.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $609.99 / $856.89 / $856.89	Professional		$609.99	$856.89	$856.89
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 $591.97 / $871.30 / $1,456.19	Professional		$591.97	$871.30	$1,456.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $664.78 / $949.69 / $1,400.90	Professional		$664.78	$949.69	$1,400.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $575.63 / $1,022.47	Professional		$75.89	$575.63	$1,022.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,138.00 / $6,522.00	Facility		$2,233.00	$4,138.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $630.66 / $863.62 / $1,444.52	Professional		$630.66	$863.62	$1,444.52