Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.42 / $8,553.00 / $11,627.00	Facility		$465.42	$8,553.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.13 / $465.42 / $710.87	Professional		$456.13	$465.42	$710.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,291.00 / $4,932.00 / $25,522.00	Facility		$2,291.00	$4,932.00	$25,522.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,333.90 / $1,767.77 / $2,774.47	Professional		$1,333.90	$1,767.77	$2,774.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.03 / $243.05 / $381.30	Facility		$162.03	$243.05	$381.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $170.13 / $210.64 / $635.49	Professional		$170.13	$210.64	$635.49
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 $372.73 / $522.24 / $791.98	Professional		$372.73	$522.24	$791.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $376.65 / $528.57 / $766.16	Professional		$376.65	$528.57	$766.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.02 / $150.02 / $174.02	Professional		$120.02	$150.02	$174.02
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 $224.49 / $353.65 / $549.60	Professional		$224.49	$353.65	$549.60