Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.41 / $5,201.00 / $11,627.00	Facility		$698.41	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.11 / $469.68 / $1,255.89	Professional		$456.11	$469.68	$1,255.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,191.00 / $3,025.00 / $8,800.00	Facility		$1,191.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.46 / $494.22 / $839.83	Professional		$371.46	$494.22	$839.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $445.05 / $534.05 / $661.01	Facility		$445.05	$534.05	$661.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $489.56 / $489.56 / $527.41	Professional		$489.56	$489.56	$527.41
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 / $623.08 / $951.57	Professional		$426.00	$623.08	$951.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $445.99 / $663.99 / $919.38	Professional		$445.99	$663.99	$919.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.53 / $450.67 / $677.55	Professional		$53.53	$450.67	$677.55
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 $438.81 / $606.46 / $986.33	Professional		$438.81	$606.46	$986.33