Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.07 / $8,872.00 / $11,627.00	Facility		$471.07	$8,872.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.79 / $316.79 / $568.24	Professional		$316.79	$316.79	$568.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,907.98 / $3,969.26 / $7,416.07	Facility		$1,907.98	$3,969.26	$7,416.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.93 / $307.29 / $481.29	Professional		$244.93	$307.29	$481.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $276.67 / $276.67 / $402.87	Facility		$276.67	$276.67	$402.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $298.38 / $298.38 / $324.95	Professional		$298.38	$298.38	$324.95
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 $271.25 / $379.75 / $582.96	Professional		$271.25	$379.75	$582.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $276.64 / $382.65 / $577.66	Professional		$276.64	$382.65	$577.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $237.56 / $311.90 / $415.17	Professional		$237.56	$311.90	$415.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,792.00	Facility		$1,480.00	$3,086.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $277.36 / $375.41 / $578.34	Professional		$277.36	$375.41	$578.34