Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.04 / $4,886.00 / $11,581.00	Facility		$502.04	$4,886.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.63 / $502.04 / $995.29	Professional		$378.63	$502.04	$995.29
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 $352.82 / $466.56 / $846.82	Professional		$352.82	$466.56	$846.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $368.70 / $442.44 / $547.62	Facility		$368.70	$442.44	$547.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $391.34 / $533.61 / $533.61	Professional		$391.34	$533.61	$533.61
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 $414.52 / $593.80 / $1,001.64	Professional		$414.52	$593.80	$1,001.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $438.52 / $625.78 / $1,018.71	Professional		$438.52	$625.78	$1,018.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $484.50 / $726.08	Professional		$75.93	$484.50	$726.08
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 $487.39 / $701.84 / $1,263.91	Professional		$487.39	$701.84	$1,263.91