Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.83 / $5,217.00 / $11,627.00	Facility		$617.83	$5,217.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.49 / $442.00 / $1,288.07	Professional		$415.49	$442.00	$1,288.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,528.00 / $14,996.00	Facility		$1,760.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.25 / $431.63 / $735.49	Professional		$326.25	$431.63	$735.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $362.75 / $362.75 / $528.20	Facility		$362.75	$362.75	$528.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $391.19 / $391.19 / $409.93	Professional		$391.19	$391.19	$409.93
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 $332.30 / $508.21 / $770.69	Professional		$332.30	$508.21	$770.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $369.36 / $543.00 / $770.69	Professional		$369.36	$543.00	$770.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.68 / $365.10 / $506.82	Professional		$45.68	$365.10	$506.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,920.00 / $7,847.00	Facility		$2,840.00	$5,920.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $383.95 / $500.05 / $780.66	Professional		$383.95	$500.05	$780.66