Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.84 / $5,355.00 / $10,268.00	Facility		$386.84	$5,355.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.14 / $262.95 / $772.56	Professional		$260.14	$262.95	$772.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,025.00 / $8,800.00	Facility		$1,152.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.97 / $278.80 / $468.56	Professional		$215.97	$278.80	$468.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $227.04 / $330.61 / $417.36	Facility		$227.04	$330.61	$417.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $238.64 / $244.85 / $434.06	Professional		$238.64	$244.85	$434.06
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 $231.50 / $311.93 / $471.27	Professional		$231.50	$311.93	$471.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $237.71 / $342.25 / $471.27	Professional		$237.71	$342.25	$471.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $188.47 / $249.13 / $339.20	Professional		$188.47	$249.13	$339.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,940.00 / $4,132.00	Facility		$1,020.00	$1,940.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $240.11 / $318.27 / $523.67	Professional		$240.11	$318.27	$523.67