Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $778.09 / $5,135.00 / $10,817.74	Facility		$778.09	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.26 / $529.80 / $1,030.82	Professional		$523.26	$529.80	$1,030.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,025.00 / $8,800.00	Facility		$1,152.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.28 / $613.20 / $990.31	Professional		$430.28	$613.20	$990.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $496.90 / $596.28 / $738.03	Facility		$496.90	$596.28	$738.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $532.88 / $546.59 / $546.59	Professional		$532.88	$546.59	$546.59
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 $486.00 / $695.67 / $1,062.68	Professional		$486.00	$695.67	$1,062.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $496.90 / $727.27 / $1,047.16	Professional		$496.90	$727.27	$1,047.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $508.85 / $734.18	Professional		$75.93	$508.85	$734.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,647.00 / $4,410.00 / $7,351.00	Facility		$2,647.00	$4,410.00	$7,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $453.93 / $663.55 / $1,130.71	Professional		$453.93	$663.55	$1,130.71