Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $589.86 / $4,886.00 / $11,581.00	Facility		$589.86	$4,886.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $451.90 / $589.86 / $1,175.64	Professional		$451.90	$589.86	$1,175.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,437.00 / $19,117.00	Facility		$2,084.00	$4,437.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.84 / $546.15 / $966.07	Professional		$405.84	$546.15	$966.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $436.92 / $524.29 / $648.94	Facility		$436.92	$524.29	$648.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $498.68 / $622.91 / $622.91	Professional		$498.68	$622.91	$622.91
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 $476.66 / $707.86 / $1,186.81	Professional		$476.66	$707.86	$1,186.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $483.78 / $736.17 / $1,186.81	Professional		$483.78	$736.17	$1,186.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.58 / $496.38 / $815.06	Professional		$77.58	$496.38	$815.06
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 $532.72 / $751.88 / $1,287.89	Professional		$532.72	$751.88	$1,287.89