Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.30 / $3,602.00 / $9,534.00	Facility		$424.30	$3,602.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.41 / $259.44 / $676.92	Professional		$256.41	$259.44	$676.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,421.00 / $19,117.00	Facility		$2,003.00	$4,421.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.85 / $471.53 / $1,789.96	Professional		$245.85	$471.53	$1,789.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $243.42 / $292.10 / $456.42	Facility		$243.42	$292.10	$456.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $267.76 / $322.00 / $474.68	Professional		$267.76	$322.00	$474.68
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 $229.10 / $377.29 / $548.82	Professional		$229.10	$377.29	$548.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $244.40 / $377.29 / $548.82	Professional		$244.40	$377.29	$548.82
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 $3,793.00 / $6,579.00 / $10,204.99	Facility		$3,793.00	$6,579.00	$10,204.99
United Facility/Professional Professional Modifier Low / Median / High Price $253.84 / $366.56 / $852.30	Professional		$253.84	$366.56	$852.30