Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.42 / $5,706.00 / $11,581.00	Facility		$646.42	$5,706.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.98 / $408.98 / $1,264.34	Professional		$408.98	$408.98	$1,264.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,185.00 / $10,766.00 / $60,320.00	Facility		$3,185.00	$10,766.00	$60,320.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.95 / $426.96 / $698.52	Professional		$326.95	$426.96	$698.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $356.15 / $356.15 / $518.62	Facility		$356.15	$356.15	$518.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $279.36 / $384.09 / $384.09	Professional		$279.36	$384.09	$384.09
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 $341.05 / $506.68 / $804.52	Professional		$341.05	$506.68	$804.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $371.66 / $519.33 / $793.21	Professional		$371.66	$519.33	$793.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $366.94 / $509.32	Professional		$46.00	$366.94	$509.32
United Facility/Professional Facility Modifier Low / Median / High Price $9,541.00 / $31,432.00 / $80,030.00	Facility		$9,541.00	$31,432.00	$80,030.00
United Facility/Professional Professional Modifier Low / Median / High Price $388.22 / $510.93 / $776.96	Professional		$388.22	$510.93	$776.96