Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.45 / $1,100.48 / $4,150.80	Facility		$386.45	$1,100.48	$4,150.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $548.05 / $1,319.72 / $4,150.80	Professional		$548.05	$1,319.72	$4,150.80
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 $368.04 / $1,011.40 / $2,517.73	Professional		$368.04	$1,011.40	$2,517.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $306.31 / $446.03 / $563.09	Facility		$306.31	$446.03	$563.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $976.44 / $1,006.83 / $1,784.84	Professional		$976.44	$1,006.83	$1,784.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.90 / $485.90 / $485.90	Professional		$485.90	$485.90	$485.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2,690.27 / $2,872.62 / $2,872.62	Professional		$2,690.27	$2,872.62	$2,872.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $876.65 / $1,160.06 / $1,576.67	Professional		$876.65	$1,160.06	$1,576.67
United Facility/Professional Professional Modifier Low / Median / High Price $1,223.98 / $1,685.24 / $2,478.48	Professional		$1,223.98	$1,685.24	$2,478.48