Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.85 / $2,849.00 / $10,268.00	Facility		$510.85	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.31 / $510.85 / $919.95	Professional		$363.31	$510.85	$919.95
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 $320.22 / $443.21 / $759.58	Professional		$320.22	$443.21	$759.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $354.29 / $515.90 / $515.90	Facility		$354.29	$515.90	$515.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $384.60 / $531.17 / $531.17	Professional		$384.60	$531.17	$531.17
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 $361.70 / $533.52 / $872.69	Professional		$361.70	$533.52	$872.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $367.10 / $553.09 / $858.15	Professional		$367.10	$553.09	$858.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $486.94 / $741.92	Professional		$33.22	$486.94	$741.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,551.00 / $5,235.00	Facility		$1,689.00	$2,551.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $424.70 / $532.60 / $1,019.00	Professional		$424.70	$532.60	$1,019.00