Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $653.10 / $5,787.93 / $11,561.00	Facility		$653.10	$5,787.93	$11,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.11 / $1,616.56 / $3,272.45	Professional		$401.11	$1,616.56	$3,272.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $5,945.00 / $29,406.00	Facility		$1,895.00	$5,945.00	$29,406.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.81 / $1,210.84 / $2,470.30	Professional		$331.81	$1,210.84	$2,470.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $349.86 / $349.86 / $509.45	Facility		$349.86	$349.86	$509.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,698.84 / $1,698.84 / $1,995.53	Professional		$1,698.84	$1,698.84	$1,995.53
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 $378.72 / $754.49 / $2,794.62	Professional		$378.72	$754.49	$2,794.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $398.42 / $728.97 / $2,778.93	Professional		$398.42	$728.97	$2,778.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,457.94 / $1,932.36 / $2,640.93	Professional		$1,457.94	$1,932.36	$2,640.93
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 $1,284.33 / $2,203.02 / $3,646.00	Professional		$1,284.33	$2,203.02	$3,646.00