Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $705.30 / $3,325.00 / $10,635.00	Facility		$705.30	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.31 / $474.31 / $1,252.18	Professional		$474.31	$474.31	$1,252.18
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 $362.48 / $493.40 / $862.83	Professional		$362.48	$493.40	$862.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $448.55 / $538.26 / $666.21	Facility		$448.55	$538.26	$666.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $348.34 / $493.41 / $493.41	Professional		$348.34	$493.41	$493.41
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 $387.12 / $605.55 / $953.83	Professional		$387.12	$605.55	$953.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $419.32 / $627.97 / $935.57	Professional		$419.32	$627.97	$935.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.30 / $407.82 / $663.65	Professional		$38.30	$407.82	$663.65
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 $396.22 / $551.54 / $975.53	Professional		$396.22	$551.54	$975.53