Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.18 / $2,113.00 / $10,268.00	Facility		$423.18	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.21 / $423.18 / $840.82	Professional		$348.21	$423.18	$840.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,861.00 / $3,554.00 / $19,117.00	Facility		$1,861.00	$3,554.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.02 / $436.36 / $767.99	Professional		$282.02	$436.36	$767.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $330.58 / $396.70 / $619.85	Facility		$330.58	$396.70	$619.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $443.38 / $443.38 / $785.99	Professional		$443.38	$443.38	$785.99
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 $363.63 / $529.41 / $862.56	Professional		$363.63	$529.41	$862.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $380.16 / $537.80 / $846.44	Professional		$380.16	$537.80	$846.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $388.84 / $511.81 / $688.58	Professional		$388.84	$511.81	$688.58
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 $417.59 / $590.62 / $1,006.45	Professional		$417.59	$590.62	$1,006.45