Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.96 / $3,983.00 / $10,268.00	Facility		$500.96	$3,983.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.58 / $500.96 / $818.26	Professional		$355.58	$500.96	$818.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,051.00 / $2,191.00 / $4,072.00	Facility		$1,051.00	$2,191.00	$4,072.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.98 / $442.57 / $755.70	Professional		$299.98	$442.57	$755.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $349.44 / $508.84 / $508.84	Facility		$349.44	$508.84	$508.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $378.70 / $526.60 / $526.60	Professional		$378.70	$526.60	$526.60
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 $356.38 / $521.41 / $837.78	Professional		$356.38	$521.41	$837.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $361.70 / $532.69 / $834.41	Professional		$361.70	$532.69	$834.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $470.80 / $731.48	Professional		$31.89	$470.80	$731.48
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $975.00 / $2,914.00	Facility		$444.00	$975.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $419.79 / $561.74 / $1,079.90	Professional		$419.79	$561.74	$1,079.90