Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $559.75 / $4,723.00 / $11,627.00	Facility		$559.75	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.75 / $559.75 / $1,733.39	Professional		$559.75	$559.75	$1,733.39
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 $545.87 / $645.15 / $1,082.74	Professional		$545.87	$645.15	$1,082.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $488.05 / $488.05 / $710.67	Facility		$488.05	$488.05	$710.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $526.33 / $526.33 / $728.25	Professional		$526.33	$526.33	$728.25
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 $480.00 / $735.67 / $1,109.32	Professional		$480.00	$735.67	$1,109.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $511.73 / $734.47 / $1,117.17	Professional		$511.73	$734.47	$1,117.17
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 $1,480.00 / $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 $520.47 / $706.17 / $1,081.56	Professional		$520.47	$706.17	$1,081.56