Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.98 / $3,325.00 / $10,635.00	Facility		$685.98	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.32 / $461.32 / $1,217.88	Professional		$461.32	$461.32	$1,217.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,142.00 / $19,117.00	Facility		$2,003.00	$4,142.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.92 / $461.54 / $778.23	Professional		$326.92	$461.54	$778.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $436.54 / $523.85 / $818.52	Facility		$436.54	$523.85	$818.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $480.19 / $480.19 / $851.25	Professional		$480.19	$480.19	$851.25
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 $376.59 / $586.16 / $929.59	Professional		$376.59	$586.16	$929.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $409.64 / $611.16 / $911.91	Professional		$409.64	$611.16	$911.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.30 / $368.62 / $624.60	Professional		$38.30	$368.62	$624.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,647.00 / $4,410.00 / $7,427.00	Facility		$2,647.00	$4,410.00	$7,427.00
United Facility/Professional Professional Modifier Low / Median / High Price $377.48 / $525.72 / $948.99	Professional		$377.48	$525.72	$948.99