Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.42 / $3,325.00 / $11,581.00	Facility		$408.42	$3,325.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.66 / $274.66 / $725.10	Professional		$274.66	$274.66	$725.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $3,974.00 / $19,117.00	Facility		$2,003.00	$3,974.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.70 / $334.38 / $548.14	Professional		$234.70	$334.38	$548.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $260.56 / $312.67 / $386.99	Facility		$260.56	$312.67	$386.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $286.62 / $286.62 / $321.13	Professional		$286.62	$286.62	$321.13
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 $242.04 / $383.08 / $564.65	Professional		$242.04	$383.08	$564.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $260.56 / $399.96 / $545.54	Professional		$260.56	$399.96	$545.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $240.92 / $319.56 / $424.78	Professional		$240.92	$319.56	$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 $269.08 / $361.20 / $621.04	Professional		$269.08	$361.20	$621.04