Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $820.43 / $4,723.00 / $11,627.00	Facility		$820.43	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $813.74 / $820.43 / $2,374.48	Professional		$813.74	$820.43	$2,374.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,528.00 / $14,996.00	Facility		$1,760.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $387.58 / $547.16 / $990.25	Professional		$387.58	$547.16	$990.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $717.66 / $717.66 / $1,045.02	Facility		$717.66	$717.66	$1,045.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $531.75 / $773.95 / $773.95	Professional		$531.75	$773.95	$773.95
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 $560.00 / $862.61 / $1,335.69	Professional		$560.00	$862.61	$1,335.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $582.12 / $893.41 / $1,296.11	Professional		$582.12	$893.41	$1,296.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $702.97 / $1,031.10	Professional		$71.16	$702.97	$1,031.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,920.00 / $7,847.00	Facility		$2,840.00	$5,920.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $563.41 / $879.82 / $1,494.10	Professional		$563.41	$879.82	$1,494.10