Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $829.72 / $2,547.00 / $10,635.00	Facility		$829.72	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $556.71 / $557.98 / $1,537.75	Professional		$556.71	$557.98	$1,537.75
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 $486.21 / $689.24 / $1,180.93	Professional		$486.21	$689.24	$1,180.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $529.65 / $635.58 / $993.09	Facility		$529.65	$635.58	$993.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $582.62 / $656.52 / $1,032.83	Professional		$582.62	$656.52	$1,032.83
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 $497.00 / $787.69 / $1,147.63	Professional		$497.00	$787.69	$1,147.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $543.28 / $813.02 / $1,108.82	Professional		$543.28	$813.02	$1,108.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $479.18 / $638.07 / $849.05	Professional		$479.18	$638.07	$849.05
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 $549.46 / $735.43 / $1,243.27	Professional		$549.46	$735.43	$1,243.27