Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $880.08 / $3,325.00 / $10,635.00	Facility		$880.08	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $591.85 / $591.85 / $1,562.48	Professional		$591.85	$591.85	$1,562.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,405.00 / $14,996.00	Facility		$1,760.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $454.02 / $621.94 / $1,057.00	Professional		$454.02	$621.94	$1,057.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $559.29 / $671.16 / $830.71	Facility		$559.29	$671.16	$830.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $503.11 / $615.23 / $615.23	Professional		$503.11	$615.23	$615.23
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 $494.30 / $783.02 / $1,184.85	Professional		$494.30	$783.02	$1,184.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $559.29 / $785.90 / $1,168.17	Professional		$559.29	$785.90	$1,168.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $552.23 / $801.85	Professional		$75.93	$552.23	$801.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,874.00 / $6,111.00 / $7,821.00	Facility		$2,874.00	$6,111.00	$7,821.00
United Facility/Professional Professional Modifier Low / Median / High Price $505.93 / $726.26 / $1,223.13	Professional		$505.93	$726.26	$1,223.13