Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.78 / $3,325.00 / $10,635.00	Facility		$474.78	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.45 / $319.29 / $876.68	Professional		$318.45	$319.29	$876.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.99 / $392.63 / $658.60	Professional		$271.99	$392.63	$658.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $302.95 / $363.54 / $449.96	Facility		$302.95	$363.54	$449.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $333.25 / $333.25 / $396.40	Professional		$333.25	$333.25	$396.40
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 $279.89 / $458.40 / $654.98	Professional		$279.89	$458.40	$654.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $302.95 / $465.03 / $632.82	Professional		$302.95	$465.03	$632.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $299.99 / $398.26 / $531.79	Professional		$299.99	$398.26	$531.79
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 $309.88 / $419.54 / $711.43	Professional		$309.88	$419.54	$711.43