Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.74 / $4,723.00 / $11,627.00	Facility		$461.74	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.74 / $461.74 / $1,428.60	Professional		$461.74	$461.74	$1,428.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $334.59 / $434.97 / $667.57	Professional		$334.59	$434.97	$667.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $403.96 / $403.96 / $588.20	Facility		$403.96	$403.96	$588.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $435.63 / $435.63 / $468.72	Professional		$435.63	$435.63	$468.72
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 $381.07 / $591.54 / $909.11	Professional		$381.07	$591.54	$909.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $418.38 / $596.29 / $902.89	Professional		$418.38	$596.29	$902.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $359.54 / $468.49 / $623.70	Professional		$359.54	$468.49	$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 $429.34 / $582.53 / $893.57	Professional		$429.34	$582.53	$893.57