Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.49 / $8,553.00 / $11,627.00	Facility		$359.49	$8,553.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.49 / $359.49 / $589.27	Professional		$359.49	$359.49	$589.27
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 $2,083.46 / $2,725.65 / $4,759.10	Professional		$2,083.46	$2,725.65	$4,759.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $255.19 / $366.99 / $456.14	Facility		$255.19	$366.99	$456.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $255.19 / $337.82 / $522.09	Professional		$255.19	$337.82	$522.09
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 $323.58 / $461.69 / $686.30	Professional		$323.58	$461.69	$686.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $344.23 / $481.92 / $722.88	Professional		$344.23	$481.92	$722.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.03 / $225.03 / $261.04	Professional		$180.03	$225.03	$261.04
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 $289.17 / $392.02 / $660.59	Professional		$289.17	$392.02	$660.59