Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.14 / $2,849.00 / $10,268.00	Facility		$430.14	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.95 / $430.14 / $815.97	Professional		$283.95	$430.14	$815.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,405.00 / $14,996.00	Facility		$1,712.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.68 / $384.36 / $679.26	Professional		$244.68	$384.36	$679.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $269.00 / $322.80 / $399.54	Facility		$269.00	$322.80	$399.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $323.02 / $428.14 / $428.14	Professional		$323.02	$428.14	$428.14
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 $278.14 / $447.61 / $785.11	Professional		$278.14	$447.61	$785.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $286.99 / $479.08 / $795.85	Professional		$286.99	$479.08	$795.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $386.18 / $508.04 / $681.29	Professional		$386.18	$508.04	$681.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,665.00 / $5,268.00	Facility		$1,689.00	$2,665.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $376.20 / $522.78 / $899.27	Professional		$376.20	$522.78	$899.27