Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $764.25 / $1,127.92 / $2,106.91	Facility		$764.25	$1,127.92	$2,106.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,033.11 / $1,291.58 / $2,106.91	Professional		$1,033.11	$1,291.58	$2,106.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $4,142.00 / $19,117.00	Facility		$2,009.00	$4,142.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $589.38 / $766.19 / $1,232.06	Professional		$589.38	$766.19	$1,232.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $605.78 / $882.09 / $1,113.57	Facility		$605.78	$882.09	$1,113.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $653.29 / $715.65 / $1,158.10	Professional		$653.29	$715.65	$1,158.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,013.70 / $1,013.70 / $1,013.70	Professional		$1,013.70	$1,013.70	$1,013.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,246.43 / $1,268.84 / $1,268.84	Professional		$1,246.43	$1,268.84	$1,268.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $641.35 / $882.77	Professional		$45.95	$641.35	$882.77
United Facility/Professional Facility Modifier Low / Median / High Price $3,995.81 / $4,085.85 / $4,341.68	Facility		$3,995.81	$4,085.85	$4,341.68
United Facility/Professional Professional Modifier Low / Median / High Price $646.01 / $861.86 / $1,398.66	Professional		$646.01	$861.86	$1,398.66