Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $972.44 / $8,037.00 / $11,754.00	Facility		$972.44	$8,037.00	$11,754.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $653.96 / $653.96 / $1,726.45	Professional		$653.96	$653.96	$1,726.45
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 $471.79 / $696.66 / $1,123.04	Professional		$471.79	$696.66	$1,123.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $613.21 / $735.85 / $910.77	Facility		$613.21	$735.85	$910.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $515.87 / $674.53 / $674.53	Professional		$515.87	$674.53	$674.53
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 $503.99 / $831.12 / $1,312.27	Professional		$503.99	$831.12	$1,312.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $531.80 / $858.50 / $1,295.16	Professional		$531.80	$858.50	$1,295.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.58 / $537.07 / $872.70	Professional		$77.58	$537.07	$872.70
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 $543.00 / $790.37 / $1,340.16	Professional		$543.00	$790.37	$1,340.16