Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.02 / $8,553.00 / $11,627.00	Facility		$292.02	$8,553.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.02 / $292.02 / $478.86	Professional		$292.02	$292.02	$478.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,291.00 / $4,932.00 / $25,522.00	Facility		$2,291.00	$4,932.00	$25,522.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,388.94 / $1,817.06 / $3,172.67	Professional		$1,388.94	$1,817.06	$3,172.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $170.13 / $258.14 / $309.77	Facility		$170.13	$258.14	$309.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $170.13 / $283.95 / $438.84	Professional		$170.13	$283.95	$438.84
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 $263.08 / $383.54 / $561.53	Professional		$263.08	$383.54	$561.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $279.37 / $391.12 / $586.69	Professional		$279.37	$391.12	$586.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.02 / $150.02 / $174.02	Professional		$120.02	$150.02	$174.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $192.91 / $289.66 / $448.44	Professional		$192.91	$289.66	$448.44