Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.64 / $2,547.00 / $10,635.00	Facility		$685.64	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.27 / $461.09 / $1,267.92	Professional		$459.27	$461.09	$1,267.92
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 $393.10 / $548.38 / $916.93	Professional		$393.10	$548.38	$916.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $437.29 / $524.75 / $819.92	Facility		$437.29	$524.75	$819.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $481.02 / $559.22 / $852.72	Professional		$481.02	$559.22	$852.72
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 / $660.44 / $945.94	Professional		$426.00	$660.44	$945.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $445.75 / $671.23 / $913.95	Professional		$445.75	$671.23	$913.95
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 $447.62 / $605.91 / $1,040.80	Professional		$447.62	$605.91	$1,040.80