Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $670.43 / $5,355.00 / $10,817.74	Facility		$670.43	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $439.99 / $439.99 / $1,333.44	Professional		$439.99	$439.99	$1,333.44
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 $332.40 / $432.12 / $721.15	Professional		$332.40	$432.12	$721.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $382.68 / $382.68 / $557.24	Facility		$382.68	$382.68	$557.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $412.70 / $412.70 / $443.46	Professional		$412.70	$412.70	$443.46
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 $352.67 / $533.39 / $834.51	Professional		$352.67	$533.39	$834.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $389.19 / $533.39 / $816.45	Professional		$389.19	$533.39	$816.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $385.97 / $545.70	Professional		$45.95	$385.97	$545.70
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 $400.90 / $536.41 / $813.62	Professional		$400.90	$536.41	$813.62