Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.78 / $2,475.00 / $9,516.00	Facility		$358.78	$2,475.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.25 / $1,665.57 / $3,032.00	Professional		$219.25	$1,665.57	$3,032.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.64 / $1,325.42 / $2,658.17	Professional		$175.64	$1,325.42	$2,658.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.90 / $190.90 / $277.97	Facility		$190.90	$190.90	$277.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,738.42 / $1,738.42 / $2,184.32	Professional		$1,738.42	$1,738.42	$2,184.32
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 $214.82 / $423.09 / $3,001.67	Professional		$214.82	$423.09	$3,001.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $215.22 / $400.47 / $2,980.50	Professional		$215.22	$400.47	$2,980.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,474.72 / $1,951.84 / $2,682.83	Professional		$1,474.72	$1,951.84	$2,682.83
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,864.85 / $2,460.73 / $3,838.56	Professional		$1,864.85	$2,460.73	$3,838.56