Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.32 / $1,645.00 / $11,627.00	Facility		$349.32	$1,645.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.56 / $413.08 / $747.04	Professional		$317.56	$413.08	$747.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,412.00 / $8,800.00	Facility		$1,145.00	$2,412.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $334.24 / $505.43 / $857.39	Professional		$334.24	$505.43	$857.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $353.11 / $353.11 / $353.11	Facility		$353.11	$353.11	$353.11
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 $335.64 / $518.67 / $934.02	Professional		$335.64	$518.67	$934.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $363.50 / $535.72 / $923.62	Professional		$363.50	$535.72	$923.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $324.91 / $580.01	Professional		$35.58	$324.91	$580.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,930.00 / $4,067.00	Facility		$1,020.00	$1,930.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $432.86 / $581.40 / $914.45	Professional		$432.86	$581.40	$914.45