Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.86 / $4,085.00 / $10,268.00	Facility		$724.86	$4,085.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.39 / $474.90 / $736.95	Professional		$426.39	$474.90	$736.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.00 / $2,170.00 / $5,211.00	Facility		$891.00	$2,170.00	$5,211.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.33 / $276.87 / $465.41	Professional		$214.33	$276.87	$465.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $685.80 / $685.80 / $685.80	Facility		$685.80	$685.80	$685.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $507.91 / $507.91 / $784.96	Professional		$507.91	$507.91	$784.96
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 $422.06 / $577.21 / $964.46	Professional		$422.06	$577.21	$964.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $431.75 / $618.82 / $964.46	Professional		$431.75	$618.82	$964.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $385.72 / $424.29 / $559.29	Professional		$385.72	$424.29	$559.29
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $975.00 / $2,914.00	Facility		$444.00	$975.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $320.06 / $541.82 / $1,152.34	Professional		$320.06	$541.82	$1,152.34