Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.61 / $3,401.00 / $10,635.00	Facility		$950.61	$3,401.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $639.28 / $639.28 / $1,968.92	Professional		$639.28	$639.28	$1,968.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,142.00 / $19,117.00	Facility		$2,003.00	$4,142.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $488.26 / $663.64 / $1,162.24	Professional		$488.26	$663.64	$1,162.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $601.51 / $721.81 / $893.39	Facility		$601.51	$721.81	$893.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $524.45 / $661.66 / $661.66	Professional		$524.45	$661.66	$661.66
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 $513.13 / $826.78 / $1,286.14	Professional		$513.13	$826.78	$1,286.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $563.82 / $842.11 / $1,263.91	Professional		$563.82	$842.11	$1,263.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.58 / $539.39 / $855.41	Professional		$77.58	$539.39	$855.41
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,578.00 / $10,075.00	Facility		$3,206.00	$6,578.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $527.05 / $757.45 / $1,328.68	Professional		$527.05	$757.45	$1,328.68