Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.32 / $2,451.00 / $10,268.00	Facility		$587.32	$2,451.00	$10,268.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $854.00 / $884.00 / $3,981.43	Facility	50	$854.00	$884.00	$3,981.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $458.47 / $481.08 / $947.72	Professional		$458.47	$481.08	$947.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,934.00 / $14,996.00	Facility		$1,712.00	$3,934.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $372.49 / $500.45 / $867.87	Professional		$372.49	$500.45	$867.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $525.03 / $630.04 / $984.44	Facility		$525.03	$630.04	$984.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $577.53 / $577.53 / $1,023.81	Professional		$577.53	$577.53	$1,023.81
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 $426.78 / $685.02 / $1,083.83	Professional		$426.78	$685.02	$1,083.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $446.77 / $717.54 / $1,083.10	Professional		$446.77	$717.54	$1,083.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.58 / $432.37 / $696.60	Professional		$77.58	$432.37	$696.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,874.00 / $6,111.00 / $7,847.00	Facility		$2,874.00	$6,111.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $404.40 / $624.91 / $1,018.74	Professional		$404.40	$624.91	$1,018.74