Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $802.25 / $5,201.00 / $11,627.00	Facility		$802.25	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $539.51 / $539.51 / $1,475.37	Professional		$539.51	$539.51	$1,475.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $5,711.00 / $29,406.00	Facility		$1,895.00	$5,711.00	$29,406.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $471.56 / $640.77 / $1,106.65	Professional		$471.56	$640.77	$1,106.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $515.08 / $618.10 / $965.78	Facility		$515.08	$618.10	$965.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $566.59 / $610.39 / $1,004.40	Professional		$566.59	$610.39	$1,004.40
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 $471.48 / $726.20 / $1,107.65	Professional		$471.48	$726.20	$1,107.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $517.40 / $768.81 / $1,076.75	Professional		$517.40	$768.81	$1,076.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $473.10 / $632.49 / $843.79	Professional		$473.10	$632.49	$843.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,998.00 / $7,847.00	Facility		$2,840.00	$5,998.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $477.29 / $685.86 / $1,166.66	Professional		$477.29	$685.86	$1,166.66