Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.62 / $2,214.35 / $10,268.00	Facility		$289.62	$2,214.35	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.47 / $700.95 / $1,224.19	Professional		$160.47	$700.95	$1,224.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,412.00 / $8,800.00	Facility		$1,145.00	$2,412.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.69 / $543.95 / $1,311.17	Professional		$168.69	$543.95	$1,311.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $152.90 / $183.48 / $286.70	Facility		$152.90	$183.48	$286.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $714.05 / $714.05 / $1,265.82	Professional		$714.05	$714.05	$1,265.82
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 $174.00 / $467.86 / $1,284.16	Professional		$174.00	$467.86	$1,284.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $177.13 / $510.24 / $1,310.57	Professional		$177.13	$510.24	$1,310.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $595.38 / $811.54 / $1,112.46	Professional		$595.38	$811.54	$1,112.46
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 $670.34 / $907.75 / $1,547.18	Professional		$670.34	$907.75	$1,547.18