Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.97 / $6,944.00 / $11,581.00	Facility		$645.97	$6,944.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.13 / $456.89 / $1,357.30	Professional		$433.13	$456.89	$1,357.30
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 $479.83 / $629.85 / $1,063.91	Professional		$479.83	$629.85	$1,063.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $377.06 / $549.05 / $693.14	Facility		$377.06	$549.05	$693.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $406.64 / $563.64 / $720.86	Professional		$406.64	$563.64	$720.86
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 $400.90 / $604.08 / $1,108.42	Professional		$400.90	$604.08	$1,108.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $406.64 / $604.08 / $1,182.33	Professional		$406.64	$604.08	$1,182.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $331.98 / $432.75 / $571.23	Professional		$331.98	$432.75	$571.23
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 $417.63 / $639.33 / $968.85	Professional		$417.63	$639.33	$968.85