Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.67 / $2,547.00 / $10,635.00	Facility		$442.67	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.69 / $297.69 / $785.90	Professional		$297.69	$297.69	$785.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,792.00 / $8,800.00	Facility		$1,152.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.04 / $297.14 / $514.26	Professional		$216.04	$297.14	$514.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $282.50 / $339.00 / $419.59	Facility		$282.50	$339.00	$419.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $222.96 / $310.75 / $310.75	Professional		$222.96	$310.75	$310.75
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 $262.27 / $382.62 / $591.10	Professional		$262.27	$382.62	$591.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $285.33 / $395.51 / $581.11	Professional		$285.33	$395.51	$581.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.09 / $259.65 / $410.89	Professional		$36.09	$259.65	$410.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,665.00 / $5,268.00	Facility		$1,689.00	$2,665.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $245.04 / $375.79 / $614.79	Professional		$245.04	$375.79	$614.79