Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.19 / $6,251.00 / $11,581.00	Facility		$864.19	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.10 / $581.16 / $1,514.00	Professional		$575.10	$581.16	$1,514.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,918.00 / $19,117.00	Facility		$2,003.00	$4,918.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $488.95 / $702.36 / $1,132.50	Professional		$488.95	$702.36	$1,132.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $552.16 / $662.59 / $820.10	Facility		$552.16	$662.59	$820.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $607.38 / $607.38 / $741.91	Professional		$607.38	$607.38	$741.91
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 $502.79 / $831.29 / $1,183.45	Professional		$502.79	$831.29	$1,183.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $552.16 / $839.09 / $1,143.43	Professional		$552.16	$839.09	$1,143.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.53 / $537.08 / $791.92	Professional		$53.53	$537.08	$791.92
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 $554.85 / $745.42 / $1,290.10	Professional		$554.85	$745.42	$1,290.10