Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $672.88 / $3,325.00 / $10,635.00	Facility		$672.88	$3,325.00	$10,635.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $637.60 / $637.60 / $637.60	Facility	50	$637.60	$637.60	$637.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.02 / $452.51 / $975.55	Professional		$444.02	$452.51	$975.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,894.00 / $8,800.00	Facility		$1,152.00	$2,894.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.92 / $442.06 / $771.06	Professional		$323.92	$442.06	$771.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $428.11 / $513.73 / $802.71	Facility		$428.11	$513.73	$802.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $470.92 / $470.92 / $834.81	Professional		$470.92	$470.92	$834.81
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 $365.96 / $575.83 / $913.00	Professional		$365.96	$575.83	$913.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $370.52 / $599.35 / $896.45	Professional		$370.52	$599.35	$896.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.30 / $368.62 / $624.60	Professional		$38.30	$368.62	$624.60
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 $371.83 / $550.01 / $933.70	Professional		$371.83	$550.01	$933.70