Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.25 / $4,723.00 / $11,627.00	Facility		$457.25	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.25 / $471.59 / $1,197.99	Professional		$457.25	$471.59	$1,197.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $5,945.00 / $29,406.00	Facility		$1,895.00	$5,945.00	$29,406.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.71 / $464.74 / $776.68	Professional		$352.71	$464.74	$776.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $397.78 / $397.78 / $579.22	Facility		$397.78	$397.78	$579.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $428.98 / $428.98 / $470.48	Professional		$428.98	$428.98	$470.48
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 $381.53 / $552.88 / $869.97	Professional		$381.53	$552.88	$869.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $414.96 / $562.10 / $831.29	Professional		$414.96	$562.10	$831.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $359.54 / $470.33 / $623.70	Professional		$359.54	$470.33	$623.70
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 $414.16 / $540.88 / $858.45	Professional		$414.16	$540.88	$858.45