Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.64 / $5,355.00 / $10,817.74	Facility		$390.64	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.70 / $262.70 / $726.34	Professional		$262.70	$262.70	$726.34
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 $228.40 / $296.07 / $533.47	Professional		$228.40	$296.07	$533.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $248.98 / $298.77 / $369.80	Facility		$248.98	$298.77	$369.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $273.88 / $273.88 / $292.50	Professional		$273.88	$273.88	$292.50
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 $232.34 / $348.57 / $543.02	Professional		$232.34	$348.57	$543.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $250.34 / $382.18 / $524.65	Professional		$250.34	$382.18	$524.65
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 $257.76 / $347.24 / $597.25	Professional		$257.76	$347.24	$597.25