Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $827.19 / $2,547.00 / $10,635.00	Facility		$827.19	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.32 / $556.28 / $1,534.00	Professional		$555.32	$556.28	$1,534.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $3,555.00 / $19,117.00	Facility		$2,003.00	$3,555.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $485.06 / $710.24 / $1,210.75	Professional		$485.06	$710.24	$1,210.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $528.39 / $634.07 / $990.74	Facility		$528.39	$634.07	$990.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $581.23 / $705.15 / $1,030.36	Professional		$581.23	$705.15	$1,030.36
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 / $799.46 / $1,144.84	Professional		$497.00	$799.46	$1,144.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $540.98 / $813.61 / $1,106.13	Professional		$540.98	$813.61	$1,106.13
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 $1,771.00 / $3,695.00 / $7,060.71	Facility		$1,771.00	$3,695.00	$7,060.71
United Facility/Professional Professional Modifier Low / Median / High Price $541.19 / $713.33 / $1,239.48	Professional		$541.19	$713.33	$1,239.48