Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $726.71 / $2,785.00 / $10,268.00	Facility		$726.71	$2,785.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $603.62 / $726.71 / $1,248.33	Professional		$603.62	$726.71	$1,248.33
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 $553.88 / $764.66 / $1,317.95	Professional		$553.88	$764.66	$1,317.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $669.28 / $974.56 / $974.56	Facility		$669.28	$974.56	$974.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $656.74 / $865.04 / $865.04	Professional		$656.74	$865.04	$865.04
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 $615.66 / $906.40 / $1,462.76	Professional		$615.66	$906.40	$1,462.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $688.96 / $966.50 / $1,461.77	Professional		$688.96	$966.50	$1,461.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $605.73 / $1,037.38	Professional		$75.89	$605.73	$1,037.38
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 $635.69 / $902.96 / $1,688.20	Professional		$635.69	$902.96	$1,688.20