Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $544.50 / $2,547.00 / $10,635.00	Facility		$544.50	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.17 / $366.17 / $1,007.53	Professional		$366.17	$366.17	$1,007.53
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 $315.60 / $438.87 / $733.82	Professional		$315.60	$438.87	$733.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $347.47 / $416.96 / $651.51	Facility		$347.47	$416.96	$651.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $382.22 / $445.93 / $677.57	Professional		$382.22	$445.93	$677.57
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 $352.22 / $526.36 / $751.31	Professional		$352.22	$526.36	$751.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $359.85 / $533.66 / $725.90	Professional		$359.85	$533.66	$725.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $330.23 / $438.69 / $582.76	Professional		$330.23	$438.69	$582.76
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 $355.31 / $462.96 / $788.26	Professional		$355.31	$462.96	$788.26