Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.36 / $4,723.00 / $11,627.00	Facility		$538.36	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.36 / $546.03 / $1,666.37	Professional		$538.36	$546.03	$1,666.37
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 $488.57 / $588.63 / $972.97	Professional		$488.57	$588.63	$972.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $468.82 / $468.82 / $682.65	Facility		$468.82	$468.82	$682.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $505.58 / $505.58 / $651.82	Professional		$505.58	$505.58	$651.82
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 $459.62 / $692.92 / $1,059.19	Professional		$459.62	$692.92	$1,059.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $491.83 / $705.51 / $1,049.10	Professional		$491.83	$705.51	$1,049.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $447.58 / $586.66 / $780.88	Professional		$447.58	$586.66	$780.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $3,098.00 / $6,792.00	Facility		$1,771.00	$3,098.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $500.57 / $671.84 / $1,039.50	Professional		$500.57	$671.84	$1,039.50