Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.18 / $6,251.00 / $11,581.00	Facility		$456.18	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.77 / $306.77 / $838.49	Professional		$306.77	$306.77	$838.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $5,563.00 / $29,406.00	Facility		$1,895.00	$5,563.00	$29,406.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.69 / $394.39 / $636.89	Professional		$269.69	$394.39	$636.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $293.77 / $352.54 / $436.34	Facility		$293.77	$352.54	$436.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $323.16 / $323.16 / $387.94	Professional		$323.16	$323.16	$387.94
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 $316.76 / $442.13 / $628.22	Professional		$316.76	$442.13	$628.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $321.49 / $446.98 / $611.66	Professional		$321.49	$446.98	$611.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $269.74 / $357.83 / $477.83	Professional		$269.74	$357.83	$477.83
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 $276.97 / $390.70 / $675.12	Professional		$276.97	$390.70	$675.12