Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.14 / $5,201.00 / $11,627.00	Facility		$791.14	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.04 / $532.04 / $1,578.92	Professional		$532.04	$532.04	$1,578.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $379.97 / $514.07 / $847.43	Professional		$379.97	$514.07	$847.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $464.68 / $464.68 / $676.64	Facility		$464.68	$464.68	$676.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $439.13 / $501.13 / $501.13	Professional		$439.13	$501.13	$501.13
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 $473.80 / $631.73 / $958.04	Professional		$473.80	$631.73	$958.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $484.01 / $652.89 / $910.82	Professional		$484.01	$652.89	$910.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $499.54 / $698.84	Professional		$45.95	$499.54	$698.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,920.00 / $7,847.00	Facility		$2,840.00	$5,920.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $475.19 / $615.02 / $991.98	Professional		$475.19	$615.02	$991.98