Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.85 / $1,348.81 / $9,090.61	Facility		$480.85	$1,348.81	$9,090.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.94 / $2,043.00 / $9,090.61	Professional		$681.94	$2,043.00	$9,090.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $6,462.00 / $29,406.00	Facility		$1,895.00	$6,462.00	$29,406.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $460.05 / $1,940.75 / $5,422.68	Professional		$460.05	$1,940.75	$5,422.68
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $690.08 / $2,911.12 / $8,134.02	Professional	50	$690.08	$2,911.12	$8,134.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $380.93 / $554.69 / $700.25	Facility		$380.93	$554.69	$700.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,074.13 / $2,325.52 / $4,122.51	Professional		$2,074.13	$2,325.52	$4,122.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.66 / $608.66 / $608.66	Professional		$608.66	$608.66	$608.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5,666.94 / $6,118.16 / $6,118.16	Professional		$5,666.94	$6,118.16	$6,118.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,972.27 / $2,627.36 / $3,577.98	Professional		$1,972.27	$2,627.36	$3,577.98
United Facility/Professional Professional Modifier Low / Median / High Price $2,795.96 / $3,703.70 / $5,622.91	Professional		$2,795.96	$3,703.70	$5,622.91