Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $522.95 / $2,547.00 / $10,635.00	Facility		$522.95	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.44 / $351.68 / $967.07	Professional		$351.44	$351.68	$967.07
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 $302.08 / $406.91 / $734.67	Professional		$302.08	$406.91	$734.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $333.52 / $400.22 / $625.35	Facility		$333.52	$400.22	$625.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $366.87 / $388.54 / $650.37	Professional		$366.87	$388.54	$650.37
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 $346.37 / $491.97 / $721.83	Professional		$346.37	$491.97	$721.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $346.37 / $511.95 / $697.42	Professional		$346.37	$511.95	$697.42
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 $2,647.00 / $4,410.00 / $7,427.00	Facility		$2,647.00	$4,410.00	$7,427.00
United Facility/Professional Professional Modifier Low / Median / High Price $341.99 / $463.36 / $790.12	Professional		$341.99	$463.36	$790.12