Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.92 / $3,999.00 / $10,268.00	Facility		$393.92	$3,999.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.75 / $393.92 / $744.07	Professional		$281.75	$393.92	$744.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.43 / $397.57 / $713.02	Professional		$230.43	$397.57	$713.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $307.14 / $368.58 / $575.91	Facility		$307.14	$368.58	$575.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $459.10 / $459.10 / $813.86	Professional		$459.10	$459.10	$813.86
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 $316.39 / $479.97 / $802.84	Professional		$316.39	$479.97	$802.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $327.56 / $500.84 / $811.63	Professional		$327.56	$500.84	$811.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.30 / $351.99 / $587.21	Professional		$38.30	$351.99	$587.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $364.01 / $568.01 / $985.77	Professional		$364.01	$568.01	$985.77