Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $568.85 / $3,785.00 / $10,268.00	Facility		$568.85	$3,785.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.76 / $568.85 / $1,001.82	Professional		$419.76	$568.85	$1,001.82
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 $364.08 / $536.91 / $894.11	Professional		$364.08	$536.91	$894.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $411.16 / $598.70 / $598.70	Facility		$411.16	$598.70	$598.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $460.82 / $596.08 / $596.08	Professional		$460.82	$596.08	$596.08
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 $423.25 / $617.28 / $972.48	Professional		$423.25	$617.28	$972.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $430.62 / $635.73 / $948.30	Professional		$430.62	$635.73	$948.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.46 / $457.72 / $752.97	Professional		$36.46	$457.72	$752.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $2,740.00 / $5,457.00	Facility		$1,771.00	$2,740.00	$5,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $477.25 / $620.91 / $1,134.66	Professional		$477.25	$620.91	$1,134.66