Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $635.04 / $4,723.00 / $11,627.00	Facility		$635.04	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.94 / $635.04 / $1,725.00	Professional		$632.94	$635.04	$1,725.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,398.00 / $27,660.50 / $47,489.23	Facility		$7,398.00	$27,660.50	$47,489.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $492.27 / $623.04 / $944.36	Professional		$492.27	$623.04	$944.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $552.61 / $552.61 / $804.68	Facility		$552.61	$552.61	$804.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $595.96 / $595.96 / $637.63	Professional		$595.96	$595.96	$637.63
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 $509.27 / $767.14 / $1,209.46	Professional		$509.27	$767.14	$1,209.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $550.20 / $767.14 / $1,191.81	Professional		$550.20	$767.14	$1,191.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $505.37 / $658.13 / $855.76	Professional		$505.37	$658.13	$855.76
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 $590.47 / $801.15 / $1,193.07	Professional		$590.47	$801.15	$1,193.07