Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $582.24 / $3,325.00 / $10,635.00	Facility		$582.24	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.30 / $391.55 / $1,055.94	Professional		$380.30	$391.55	$1,055.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,897.00 / $8,800.00	Facility		$1,145.00	$2,897.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.39 / $406.02 / $757.68	Professional		$286.39	$406.02	$757.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $372.38 / $446.86 / $553.08	Facility		$372.38	$446.86	$553.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $355.89 / $409.62 / $409.62	Professional		$355.89	$409.62	$409.62
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 $337.94 / $556.36 / $794.26	Professional		$337.94	$556.36	$794.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $372.38 / $559.66 / $805.53	Professional		$372.38	$559.66	$805.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.63 / $429.52 / $597.33	Professional		$46.63	$429.52	$597.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,549.42 / $3,724.00 / $6,238.00	Facility		$2,549.42	$3,724.00	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $374.38 / $496.21 / $867.12	Professional		$374.38	$496.21	$867.12