Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $883.56 / $5,201.00 / $11,627.00	Facility		$883.56	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.41 / $594.19 / $1,602.78	Professional		$577.41	$594.19	$1,602.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,025.00 / $8,800.00	Facility		$1,152.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $488.09 / $656.41 / $1,117.67	Professional		$488.09	$656.41	$1,117.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $564.41 / $677.29 / $838.30	Facility		$564.41	$677.29	$838.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $620.85 / $620.85 / $656.59	Professional		$620.85	$620.85	$656.59
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 $513.37 / $790.17 / $1,208.00	Professional		$513.37	$790.17	$1,208.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $564.41 / $836.54 / $1,167.14	Professional		$564.41	$836.54	$1,167.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $567.08 / $827.20	Professional		$75.93	$567.08	$827.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,647.00 / $4,410.00 / $7,351.00	Facility		$2,647.00	$4,410.00	$7,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $566.61 / $765.20 / $1,317.26	Professional		$566.61	$765.20	$1,317.26