Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.45 / $5,355.00 / $11,581.00	Facility		$755.45	$5,355.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.59 / $437.11 / $1,423.40	Professional		$433.59	$437.11	$1,423.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.35 / $440.00 / $723.21	Professional		$333.35	$440.00	$723.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $379.13 / $552.05 / $696.92	Facility		$379.13	$552.05	$696.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $408.86 / $431.70 / $724.80	Professional		$408.86	$431.70	$724.80
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 $386.56 / $520.37 / $813.16	Professional		$386.56	$520.37	$813.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $427.45 / $565.89 / $784.98	Professional		$427.45	$565.89	$784.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $370.59 / $539.37	Professional		$40.54	$370.59	$539.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,326.58 / $4,956.00 / $7,778.00	Facility		$2,326.58	$4,956.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $418.28 / $547.46 / $827.96	Professional		$418.28	$547.46	$827.96