Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.80 / $2,685.00 / $10,635.00	Facility		$891.80	$2,685.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $599.73 / $599.73 / $1,583.29	Professional		$599.73	$599.73	$1,583.29
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 $516.01 / $694.19 / $1,252.66	Professional		$516.01	$694.19	$1,252.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $568.66 / $682.40 / $1,066.26	Facility		$568.66	$682.40	$1,066.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $625.54 / $625.54 / $1,108.91	Professional		$625.54	$625.54	$1,108.91
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 $528.41 / $796.14 / $1,234.83	Professional		$528.41	$796.14	$1,234.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $571.30 / $872.91 / $1,193.08	Professional		$571.30	$872.91	$1,193.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $540.54 / $715.62 / $955.77	Professional		$540.54	$715.62	$955.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,665.00 / $5,268.00	Facility		$1,689.00	$2,665.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $583.14 / $790.13 / $1,336.31	Professional		$583.14	$790.13	$1,336.31