Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $838.39 / $5,355.00 / $10,817.74	Facility		$838.39	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.94 / $535.94 / $1,604.88	Professional		$535.94	$535.94	$1,604.88
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 $406.35 / $559.34 / $953.98	Professional		$406.35	$559.34	$953.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $468.64 / $468.64 / $682.41	Facility		$468.64	$468.64	$682.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $505.40 / $505.40 / $536.96	Professional		$505.40	$505.40	$536.96
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 $477.82 / $686.00 / $947.63	Professional		$477.82	$686.00	$947.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $488.86 / $691.71 / $953.69	Professional		$488.86	$691.71	$953.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $468.88 / $650.38	Professional		$40.54	$468.88	$650.38
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 $481.02 / $630.88 / $993.46	Professional		$481.02	$630.88	$993.46