Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.52 / $3,983.00 / $10,268.00	Facility		$762.52	$3,983.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $641.34 / $762.52 / $1,446.50	Professional		$641.34	$762.52	$1,446.50
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 $592.91 / $828.81 / $1,435.54	Professional		$592.91	$828.81	$1,435.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $695.09 / $1,012.14 / $1,012.14	Facility		$695.09	$1,012.14	$1,012.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $640.16 / $882.18 / $882.18	Professional		$640.16	$882.18	$882.18
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 $648.83 / $954.68 / $1,533.84	Professional		$648.83	$954.68	$1,533.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $715.53 / $1,002.47 / $1,528.92	Professional		$715.53	$1,002.47	$1,528.92
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 $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 $712.34 / $932.17 / $1,553.61	Professional		$712.34	$932.17	$1,553.61