Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.75 / $2,849.00 / $10,268.00	Facility		$480.75	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.66 / $480.75 / $804.66	Professional		$361.66	$480.75	$804.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,894.00 / $8,800.00	Facility		$1,152.00	$2,894.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.83 / $447.18 / $783.09	Professional		$318.83	$447.18	$783.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $343.88 / $412.66 / $510.75	Facility		$343.88	$412.66	$510.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $365.46 / $498.52 / $498.52	Professional		$365.46	$498.52	$498.52
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 $361.07 / $542.49 / $886.09	Professional		$361.07	$542.49	$886.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $387.36 / $561.99 / $892.37	Professional		$387.36	$561.99	$892.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.30 / $409.97 / $683.33	Professional		$38.30	$409.97	$683.33
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 $391.31 / $546.86 / $976.15	Professional		$391.31	$546.86	$976.15