Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.02 / $2,113.00 / $9,504.00	Facility		$429.02	$2,113.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.74 / $1,225.38 / $1,899.21	Professional		$266.74	$1,225.38	$1,899.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,059.00 / $2,412.00	Facility		$937.00	$2,059.00	$2,412.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.54 / $932.10 / $2,584.32	Professional		$229.54	$932.10	$2,584.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $340.39 / $340.39 / $340.39	Facility		$340.39	$340.39	$340.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $932.37 / $1,116.91 / $1,116.91	Professional		$932.37	$1,116.91	$1,116.91
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 $263.55 / $551.42 / $2,216.28	Professional		$263.55	$551.42	$2,216.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $275.01 / $749.54 / $2,248.06	Professional		$275.01	$749.54	$2,248.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $953.92 / $1,275.30 / $1,766.03	Professional		$953.92	$1,275.30	$1,766.03
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 $1,285.31 / $1,720.72 / $2,713.94	Professional		$1,285.31	$1,720.72	$2,713.94