Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $509.84 / $4,723.00 / $11,627.00	Facility		$509.84	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $509.84 / $509.84 / $1,578.66	Professional		$509.84	$509.84	$1,578.66
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 $481.18 / $569.09 / $959.41	Professional		$481.18	$569.09	$959.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $444.70 / $444.70 / $647.54	Facility		$444.70	$444.70	$647.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $479.58 / $479.58 / $641.96	Professional		$479.58	$479.58	$641.96
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 $438.18 / $675.53 / $1,022.28	Professional		$438.18	$675.53	$1,022.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $466.07 / $669.23 / $1,022.28	Professional		$466.07	$669.23	$1,022.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $417.33 / $548.59 / $727.61	Professional		$417.33	$548.59	$727.61
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 $475.05 / $652.76 / $985.06	Professional		$475.05	$652.76	$985.06