Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.03 / $3,325.00 / $10,635.00	Facility		$851.03	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.05 / $572.30 / $1,574.67	Professional		$570.05	$572.30	$1,574.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,927.00 / $8,010.00 / $36,529.00	Facility		$1,927.00	$8,010.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $396.47 / $697.96 / $1,338.76	Professional		$396.47	$697.96	$1,338.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $542.79 / $651.36 / $806.20	Facility		$542.79	$651.36	$806.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $594.27 / $597.08 / $597.08	Professional		$594.27	$597.08	$597.08
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 $503.15 / $759.92 / $1,174.18	Professional		$503.15	$759.92	$1,174.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $556.17 / $833.20 / $1,134.47	Professional		$556.17	$833.20	$1,134.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.78 / $593.92 / $816.48	Professional		$46.78	$593.92	$816.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,952.00 / $4,132.00	Facility		$1,020.00	$1,952.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $559.98 / $732.78 / $1,291.02	Professional		$559.98	$732.78	$1,291.02