Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.11 / $2,547.00 / $10,635.00	Facility		$695.11	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.76 / $467.46 / $1,284.85	Professional		$465.76	$467.46	$1,284.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,794.00 / $3,264.00 / $19,117.00	Facility		$1,794.00	$3,264.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.15 / $576.13 / $982.20	Professional		$405.15	$576.13	$982.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $443.34 / $532.01 / $831.27	Facility		$443.34	$532.01	$831.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $487.67 / $582.01 / $864.51	Professional		$487.67	$582.01	$864.51
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 $426.00 / $670.79 / $958.57	Professional		$426.00	$670.79	$958.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $451.23 / $681.86 / $926.15	Professional		$451.23	$681.86	$926.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $420.55 / $557.20 / $737.07	Professional		$420.55	$557.20	$737.07
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 $456.79 / $613.09 / $1,054.61	Professional		$456.79	$613.09	$1,054.61