Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $581.76 / $4,723.00 / $11,627.00	Facility		$581.76	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $564.82 / $581.76 / $1,147.95	Professional		$564.82	$581.76	$1,147.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,792.00 / $8,800.00	Facility		$1,152.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $481.98 / $662.77 / $1,093.63	Professional		$481.98	$662.77	$1,093.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $552.34 / $662.81 / $820.37	Facility		$552.34	$662.81	$820.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $607.57 / $607.57 / $682.23	Professional		$607.57	$607.57	$682.23
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 $502.23 / $788.53 / $1,181.31	Professional		$502.23	$788.53	$1,181.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $552.34 / $826.17 / $1,141.34	Professional		$552.34	$826.17	$1,141.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $557.73 / $801.77	Professional		$75.93	$557.73	$801.77
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,578.00 / $10,075.00	Facility		$3,206.00	$6,578.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $554.22 / $748.16 / $1,288.64	Professional		$554.22	$748.16	$1,288.64