Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.68 / $8,553.00 / $11,627.00	Facility		$376.68	$8,553.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.68 / $376.68 / $719.95	Professional		$376.68	$376.68	$719.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,528.00 / $14,996.00	Facility		$1,760.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.32 / $418.11 / $688.43	Professional		$317.32	$418.11	$688.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $361.21 / $433.45 / $536.49	Facility		$361.21	$433.45	$536.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $397.33 / $397.33 / $421.05	Professional		$397.33	$397.33	$421.05
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 $369.58 / $505.69 / $756.50	Professional		$369.58	$505.69	$756.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $369.58 / $507.58 / $758.54	Professional		$369.58	$507.58	$758.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $356.84 / $477.83 / $635.81	Professional		$356.84	$477.83	$635.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $334.03 / $487.56 / $776.88	Professional		$334.03	$487.56	$776.88