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 / $538.36 / $1,666.37	Professional		$538.36	$538.36	$1,666.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,010.00 / $36,529.00	Facility		$2,097.00	$8,010.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.86 / $523.96 / $852.23	Professional		$426.86	$523.96	$852.23
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 / $569.48	Professional		$505.58	$505.58	$569.48
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 / $663.34 / $1,030.11	Professional		$459.62	$663.34	$1,030.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $491.83 / $667.28 / $1,020.58	Professional		$491.83	$667.28	$1,020.58
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 $500.57 / $671.84 / $1,039.50	Professional		$500.57	$671.84	$1,039.50