Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.48 / $5,784.00 / $11,561.00	Facility		$462.48	$5,784.00	$11,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.94 / $462.48 / $742.87	Professional		$348.94	$462.48	$742.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,897.00 / $8,800.00	Facility		$1,152.00	$2,897.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.20 / $447.75 / $759.47	Professional		$305.20	$447.75	$759.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $387.82 / $564.71 / $564.71	Facility		$387.82	$564.71	$564.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $372.08 / $550.79 / $550.79	Professional		$372.08	$550.79	$550.79
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 $357.39 / $530.50 / $876.28	Professional		$357.39	$530.50	$876.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $398.30 / $568.55 / $869.21	Professional		$398.30	$568.55	$869.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $402.81 / $696.62	Professional		$36.50	$402.81	$696.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,356.62 / $2,251.00 / $4,922.00	Facility		$1,356.62	$2,251.00	$4,922.00
United Facility/Professional Professional Modifier Low / Median / High Price $395.50 / $533.03 / $884.29	Professional		$395.50	$533.03	$884.29