Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.05 / $4,723.00 / $11,627.00	Facility		$330.05	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.05 / $330.05 / $718.40	Professional		$330.05	$330.05	$718.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,288.62 / $4,463.14 / $9,199.36	Facility		$2,288.62	$4,463.14	$9,199.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.69 / $366.02 / $638.44	Professional		$270.69	$366.02	$638.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $314.77 / $377.72 / $501.66	Facility		$314.77	$377.72	$501.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $346.25 / $355.58 / $613.79	Professional		$346.25	$355.58	$613.79
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 $314.77 / $443.74 / $707.72	Professional		$314.77	$443.74	$707.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $335.93 / $484.98 / $687.75	Professional		$335.93	$484.98	$687.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $298.05 / $399.68 / $532.68	Professional		$298.05	$399.68	$532.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,665.00 / $5,268.00	Facility		$1,689.00	$2,665.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $314.76 / $434.25 / $742.62	Professional		$314.76	$434.25	$742.62