Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.86 / $2,849.00 / $10,268.00	Facility		$474.86	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.33 / $474.86 / $814.38	Professional		$344.33	$474.86	$814.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,894.00 / $8,800.00	Facility		$1,152.00	$2,894.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.33 / $441.09 / $742.41	Professional		$319.33	$441.09	$742.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $336.31 / $489.72 / $489.72	Facility		$336.31	$489.72	$489.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $407.42 / $494.95 / $494.95	Professional		$407.42	$494.95	$494.95
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 $346.21 / $520.07 / $839.20	Professional		$346.21	$520.07	$839.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $356.70 / $539.94 / $813.44	Professional		$356.70	$539.94	$813.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $440.49 / $666.31	Professional		$33.22	$440.49	$666.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,138.00 / $6,522.00	Facility		$2,233.00	$4,138.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $403.34 / $519.89 / $1,007.65	Professional		$403.34	$519.89	$1,007.65