Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $443.85 / $4,723.00 / $11,627.00	Facility		$443.85	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.19 / $443.85 / $757.29	Professional		$441.19	$443.85	$757.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $3,974.00 / $19,117.00	Facility		$2,009.00	$3,974.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.84 / $333.58 / $618.52	Professional		$222.84	$333.58	$618.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $423.65 / $508.38 / $629.23	Facility		$423.65	$508.38	$629.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $333.27 / $466.02 / $466.02	Professional		$333.27	$466.02	$466.02
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 $355.77 / $487.20 / $818.08	Professional		$355.77	$487.20	$818.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $365.72 / $516.86 / $879.77	Professional		$365.72	$516.86	$879.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $386.54 / $516.77 / $683.37	Professional		$386.54	$516.77	$683.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $262.48 / $509.41 / $977.74	Professional		$262.48	$509.41	$977.74