Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.91 / $2,306.00 / $10,268.00	Facility		$303.91	$2,306.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.55 / $614.41 / $1,210.40	Professional		$189.55	$614.41	$1,210.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.35 / $567.63 / $1,130.60	Professional		$169.35	$567.63	$1,130.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.80 / $241.43 / $259.07	Facility		$165.80	$241.43	$259.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $578.15 / $827.55 / $1,024.91	Professional		$578.15	$827.55	$1,024.91
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 $178.81 / $390.80 / $1,141.13	Professional		$178.81	$390.80	$1,141.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $195.06 / $390.80 / $1,088.83	Professional		$195.06	$390.80	$1,088.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $510.39 / $668.72 / $922.44	Professional		$510.39	$668.72	$922.44
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 $703.87 / $984.92 / $1,382.93	Professional		$703.87	$984.92	$1,382.93