Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $819.55 / $5,355.00 / $10,817.74	Facility		$819.55	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.64 / $551.14 / $1,175.35	Professional		$494.64	$551.14	$1,175.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,025.00 / $8,800.00	Facility		$1,152.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $445.69 / $566.29 / $988.55	Professional		$445.69	$566.29	$988.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $611.70 / $890.72 / $890.72	Facility		$611.70	$890.72	$890.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $462.59 / $659.68 / $659.68	Professional		$462.59	$659.68	$659.68
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 $509.89 / $743.64 / $1,241.56	Professional		$509.89	$743.64	$1,241.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $540.60 / $779.62 / $1,241.56	Professional		$540.60	$779.62	$1,241.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $473.48 / $793.45	Professional		$75.89	$473.48	$793.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,138.00 / $6,522.00	Facility		$2,233.00	$4,138.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $448.77 / $658.63 / $1,244.00	Professional		$448.77	$658.63	$1,244.00