Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.80 / $3,072.00 / $9,516.00	Facility		$585.80	$3,072.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.30 / $585.80 / $1,192.42	Professional		$173.30	$585.80	$1,192.42
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 $182.04 / $590.21 / $2,598.94	Professional		$182.04	$590.21	$2,598.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $198.00 / $245.07	Facility		$165.00	$198.00	$245.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $564.38 / $700.46 / $700.46	Professional		$564.38	$700.46	$700.46
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 $187.58 / $450.32 / $1,218.74	Professional		$187.58	$450.32	$1,218.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $190.95 / $555.84 / $1,238.29	Professional		$190.95	$555.84	$1,238.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $589.36 / $806.35 / $1,108.74	Professional		$589.36	$806.35	$1,108.74
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 $619.76 / $953.80 / $1,575.92	Professional		$619.76	$953.80	$1,575.92