Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.69 / $4,723.00 / $11,627.00	Facility		$668.69	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.95 / $668.69 / $1,166.90	Professional		$665.95	$668.69	$1,166.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,392.00 / $9,381.99 / $16,655.00	Facility		$3,392.00	$9,381.99	$16,655.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $560.53 / $754.49 / $1,309.85	Professional		$560.53	$754.49	$1,309.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $645.64 / $774.77 / $958.95	Facility		$645.64	$774.77	$958.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $661.45 / $710.20 / $710.20	Professional		$661.45	$710.20	$710.20
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 $588.75 / $903.89 / $1,369.78	Professional		$588.75	$903.89	$1,369.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $645.64 / $944.71 / $1,369.78	Professional		$645.64	$944.71	$1,369.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $544.65 / $898.23	Professional		$78.29	$544.65	$898.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $602.16 / $885.55 / $1,405.37	Professional		$602.16	$885.55	$1,405.37