Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $547.67 / $4,723.00 / $11,627.00	Facility		$547.67	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $547.67 / $556.20 / $1,100.07	Professional		$547.67	$556.20	$1,100.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,528.00 / $14,996.00	Facility		$1,760.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $434.51 / $613.41 / $1,068.41	Professional		$434.51	$613.41	$1,068.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $478.28 / $478.28 / $696.43	Facility		$478.28	$478.28	$696.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $515.79 / $515.79 / $639.67	Professional		$515.79	$515.79	$639.67
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 $468.90 / $726.80 / $1,024.07	Professional		$468.90	$726.80	$1,024.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $509.95 / $740.19 / $1,024.07	Professional		$509.95	$740.19	$1,024.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $447.58 / $587.04 / $780.88	Professional		$447.58	$587.04	$780.88
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 $509.54 / $670.81 / $1,047.51	Professional		$509.54	$670.81	$1,047.51