Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.37 / $4,723.00 / $11,627.00	Facility		$297.37	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.37 / $301.85 / $920.53	Professional		$297.37	$301.85	$920.53
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 $294.19 / $348.74 / $583.54	Professional		$294.19	$348.74	$583.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $258.73 / $258.73 / $376.74	Facility		$258.73	$258.73	$376.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $279.02 / $279.02 / $390.96	Professional		$279.02	$279.02	$390.96
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 $248.54 / $390.34 / $589.10	Professional		$248.54	$390.34	$589.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $268.73 / $389.36 / $592.66	Professional		$268.73	$389.36	$592.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $237.56 / $311.90 / $415.17	Professional		$237.56	$311.90	$415.17
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 $276.51 / $379.05 / $561.78	Professional		$276.51	$379.05	$561.78