Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $609.00 / $2,936.00 / $9,516.00	Facility		$609.00	$2,936.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.18 / $1,094.76 / $2,047.44	Professional		$354.18	$1,094.76	$2,047.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $3,555.00 / $19,117.00	Facility		$2,003.00	$3,555.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.33 / $651.22 / $1,409.80	Professional		$279.33	$651.22	$1,409.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $310.39 / $392.76 / $570.57	Facility		$310.39	$392.76	$570.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $891.07 / $1,093.86 / $1,939.14	Professional		$891.07	$1,093.86	$1,939.14
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 $336.81 / $662.04 / $1,766.06	Professional		$336.81	$662.04	$1,766.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $349.94 / $780.35 / $1,766.06	Professional		$349.94	$780.35	$1,766.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.66 / $986.52 / $1,458.05	Professional		$101.66	$986.52	$1,458.05
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,448.00 / $13,382.00	Facility		$4,070.00	$8,448.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $971.39 / $1,274.85 / $2,143.27	Professional		$971.39	$1,274.85	$2,143.27