Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.13 / $5,355.00 / $10,817.74	Facility		$505.13	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.94 / $339.70 / $933.74	Professional		$338.94	$339.70	$933.74
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 $320.72 / $418.82 / $752.94	Professional		$320.72	$418.82	$752.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $322.88 / $387.46 / $605.40	Facility		$322.88	$387.46	$605.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $355.17 / $416.49 / $629.61	Professional		$355.17	$416.49	$629.61
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 $298.93 / $478.30 / $696.12	Professional		$298.93	$478.30	$696.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $322.88 / $495.62 / $692.62	Professional		$322.88	$495.62	$692.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $330.23 / $438.69 / $582.76	Professional		$330.23	$438.69	$582.76
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 $330.26 / $447.00 / $759.96	Professional		$330.26	$447.00	$759.96