Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $670.29 / $3,999.00 / $10,268.00	Facility		$670.29	$3,999.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.21 / $718.48 / $1,272.88	Professional		$559.21	$718.48	$1,272.88
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 $511.12 / $735.75 / $1,256.82	Professional		$511.12	$735.75	$1,256.82
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $823.11 / $823.11 / $823.11	Professional		$823.11	$823.11	$823.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $622.16 / $905.95 / $905.95	Facility		$622.16	$905.95	$905.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $569.03 / $801.26 / $801.26	Professional		$569.03	$801.26	$801.26
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 $573.37 / $842.64 / $1,358.91	Professional		$573.37	$842.64	$1,358.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $640.46 / $896.65 / $1,352.75	Professional		$640.46	$896.65	$1,352.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $572.72 / $967.52	Professional		$75.89	$572.72	$967.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,551.00 / $5,235.00	Facility		$1,689.00	$2,551.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $629.00 / $828.12 / $1,436.08	Professional		$629.00	$828.12	$1,436.08