Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.13 / $4,723.00 / $11,627.00	Facility		$371.13	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.13 / $393.40 / $1,049.89	Professional		$371.13	$393.40	$1,049.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,356.54 / $8,646.43 / $15,559.38	Facility		$3,356.54	$8,646.43	$15,559.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.63 / $531.49 / $899.21	Professional		$403.63	$531.49	$899.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $323.54 / $471.12 / $594.75	Facility		$323.54	$471.12	$594.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $348.92 / $483.18 / $618.54	Professional		$348.92	$483.18	$618.54
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 $347.34 / $517.78 / $930.23	Professional		$347.34	$517.78	$930.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $350.99 / $517.78 / $940.49	Professional		$350.99	$517.78	$940.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $301.74 / $392.32 / $521.81	Professional		$301.74	$392.32	$521.81
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 $349.02 / $532.72 / $799.80	Professional		$349.02	$532.72	$799.80