Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.03 / $5,597.00 / $10,817.74	Facility		$759.03	$5,597.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.57 / $497.57 / $1,514.17	Professional		$497.57	$497.57	$1,514.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,010.00 / $36,529.00	Facility		$2,097.00	$8,010.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.36 / $546.87 / $846.93	Professional		$411.36	$546.87	$846.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $434.11 / $434.11 / $632.13	Facility		$434.11	$434.11	$632.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $468.16 / $468.16 / $548.80	Professional		$468.16	$468.16	$548.80
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 $425.60 / $648.09 / $972.89	Professional		$425.60	$648.09	$972.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $442.78 / $648.09 / $991.59	Professional		$442.78	$648.09	$991.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $466.24 / $648.57	Professional		$46.00	$466.24	$648.57
United Facility/Professional Facility Modifier Low / Median / High Price $4,873.00 / $11,553.00 / $80,030.00	Facility		$4,873.00	$11,553.00	$80,030.00
United Facility/Professional Professional Modifier Low / Median / High Price $466.08 / $635.05 / $963.39	Professional		$466.08	$635.05	$963.39