Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $723.38 / $3,325.00 / $10,635.00	Facility		$723.38	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $453.60 / $486.47 / $1,585.22	Professional		$453.60	$486.47	$1,585.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.24 / $431.82 / $805.66	Professional		$295.24	$431.82	$805.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $471.53 / $565.84 / $700.34	Facility		$471.53	$565.84	$700.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $362.27 / $518.67 / $518.67	Professional		$362.27	$518.67	$518.67
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 $420.73 / $635.96 / $981.17	Professional		$420.73	$635.96	$981.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $442.16 / $660.14 / $973.29	Professional		$442.16	$660.14	$973.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $463.91 / $700.38	Professional		$75.89	$463.91	$700.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $414.60 / $586.01 / $1,019.90	Professional		$414.60	$586.01	$1,019.90