Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $861.36 / $5,201.00 / $11,627.00	Facility		$861.36	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $552.96 / $579.26 / $1,143.53	Professional		$552.96	$579.26	$1,143.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,794.00 / $3,576.00 / $14,996.00	Facility		$1,794.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $471.23 / $624.84 / $1,090.20	Professional		$471.23	$624.84	$1,090.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $549.99 / $659.99 / $816.88	Facility		$549.99	$659.99	$816.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $604.99 / $604.99 / $622.03	Professional		$604.99	$604.99	$622.03
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 $499.94 / $769.98 / $1,176.76	Professional		$499.94	$769.98	$1,176.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $525.59 / $821.40 / $1,136.96	Professional		$525.59	$821.40	$1,136.96
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 $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 $552.86 / $733.91 / $1,282.78	Professional		$552.86	$733.91	$1,282.78