Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $897.40 / $5,135.00 / $10,817.74	Facility		$897.40	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.54 / $607.64 / $1,200.59	Professional		$517.54	$607.64	$1,200.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.00 / $5,770.00 / $30,285.00	Facility		$2,670.00	$5,770.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $497.10 / $705.08 / $1,139.93	Professional		$497.10	$705.08	$1,139.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $553.25 / $710.05 / $943.04	Facility		$553.25	$710.05	$943.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $650.88 / $828.39 / $127,498.73	Professional		$650.88	$828.39	$127,498.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $712.39 / $712.39 / $712.39	Professional		$712.39	$712.39	$712.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,028.73 / $1,224.28 / $1,224.28	Professional		$1,028.73	$1,224.28	$1,224.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $422.18 / $730.80	Professional		$72.32	$422.18	$730.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,920.00 / $7,853.00	Facility		$2,840.00	$5,920.00	$7,853.00
United Facility/Professional Professional Modifier Low / Median / High Price $505.19 / $764.87 / $1,235.54	Professional		$505.19	$764.87	$1,235.54