Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $701.76 / $5,355.00 / $10,817.74	Facility		$701.76	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.93 / $471.93 / $995.13	Professional		$471.93	$471.93	$995.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,291.00 / $4,616.00 / $25,522.00	Facility		$2,291.00	$4,616.00	$25,522.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $413.70 / $588.24 / $975.58	Professional		$413.70	$588.24	$975.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $450.66 / $540.79 / $669.35	Facility		$450.66	$540.79	$669.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $495.73 / $495.73 / $501.65	Professional		$495.73	$495.73	$501.65
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 $450.42 / $686.72 / $991.72	Professional		$450.42	$686.72	$991.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $472.00 / $693.82 / $1,027.88	Professional		$472.00	$693.82	$1,027.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $417.33 / $559.16 / $740.47	Professional		$417.33	$559.16	$740.47
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,578.00 / $10,075.00	Facility		$3,206.00	$6,578.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $442.07 / $601.13 / $1,040.06	Professional		$442.07	$601.13	$1,040.06