Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.97 / $1,272.00 / $11,627.00	Facility		$335.97	$1,272.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.43 / $384.03 / $605.69	Professional		$305.43	$384.03	$605.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.17 / $417.52 / $695.80	Professional		$273.17	$417.52	$695.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $340.70 / $340.70 / $340.70	Facility		$340.70	$340.70	$340.70
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 $312.31 / $468.46 / $836.45	Professional		$312.31	$468.46	$836.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $350.72 / $507.81 / $775.48	Professional		$350.72	$507.81	$775.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $295.94 / $534.32	Professional		$35.58	$295.94	$534.32
United Facility/Professional Facility Modifier Low / Median / High Price $296.06 / $738.00 / $2,816.00	Facility		$296.06	$738.00	$2,816.00
United Facility/Professional Professional Modifier Low / Median / High Price $357.29 / $476.38 / $804.94	Professional		$357.29	$476.38	$804.94