Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $924.16 / $3,325.00 / $10,635.00	Facility		$924.16	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $605.91 / $621.49 / $1,219.81	Professional		$605.91	$621.49	$1,219.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,142.00 / $19,117.00	Facility		$2,003.00	$4,142.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $559.61 / $755.25 / $1,301.08	Professional		$559.61	$755.25	$1,301.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $605.72 / $882.02 / $882.02	Facility		$605.72	$882.02	$882.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $653.24 / $653.24 / $744.02	Professional		$653.24	$653.24	$744.02
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 $555.25 / $833.93 / $1,229.41	Professional		$555.25	$833.93	$1,229.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $581.97 / $863.59 / $1,245.91	Professional		$581.97	$863.59	$1,245.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.87 / $570.26 / $842.80	Professional		$68.87	$570.26	$842.80
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 $511.90 / $688.38 / $1,242.18	Professional		$511.90	$688.38	$1,242.18