Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.40 / $5,368.48 / $10,268.00	Facility		$474.40	$5,368.48	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.18 / $285.69 / $523.76	Professional		$256.18	$285.69	$523.76
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 $236.39 / $335.11 / $585.41	Professional		$236.39	$335.11	$585.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $248.05 / $297.66 / $368.42	Facility		$248.05	$297.66	$368.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $272.86 / $272.86 / $352.23	Professional		$272.86	$272.86	$352.23
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 $229.24 / $381.70 / $552.82	Professional		$229.24	$381.70	$552.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $248.56 / $381.70 / $570.52	Professional		$248.56	$381.70	$570.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $239.33 / $319.34 / $424.78	Professional		$239.33	$319.34	$424.78
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 $252.97 / $342.16 / $588.19	Professional		$252.97	$342.16	$588.19