Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.80 / $2,849.00 / $10,268.00	Facility		$357.80	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.83 / $357.80 / $668.96	Professional		$275.83	$357.80	$668.96
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 $242.30 / $335.36 / $589.51	Professional		$242.30	$335.36	$589.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $265.98 / $319.18 / $395.05	Facility		$265.98	$319.18	$395.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $288.20 / $377.18 / $377.18	Professional		$288.20	$377.18	$377.18
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 $292.58 / $432.50 / $712.46	Professional		$292.58	$432.50	$712.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $305.88 / $445.76 / $712.46	Professional		$305.88	$445.76	$712.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.09 / $347.73 / $515.41	Professional		$36.09	$347.73	$515.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $325.25 / $471.18 / $805.04	Professional		$325.25	$471.18	$805.04