Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.47 / $2,849.00 / $10,268.00	Facility		$389.47	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.98 / $389.47 / $778.39	Professional		$296.98	$389.47	$778.39
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 $254.64 / $352.62 / $619.62	Professional		$254.64	$352.62	$619.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $284.77 / $341.72 / $422.96	Facility		$284.77	$341.72	$422.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $294.17 / $407.25 / $407.25	Professional		$294.17	$407.25	$407.25
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 $310.70 / $457.73 / $738.70	Professional		$310.70	$457.73	$738.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $325.00 / $477.29 / $738.70	Professional		$325.00	$477.29	$738.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.45 / $351.52 / $528.96	Professional		$35.45	$351.52	$528.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,647.00 / $4,410.00 / $7,351.00	Facility		$2,647.00	$4,410.00	$7,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $353.48 / $499.81 / $924.12	Professional		$353.48	$499.81	$924.12