Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $671.20 / $3,325.00 / $10,635.00	Facility		$671.20	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $451.38 / $451.38 / $889.23	Professional		$451.38	$451.38	$889.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,794.00 / $3,405.00 / $14,996.00	Facility		$1,794.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.12 / $492.29 / $859.41	Professional		$376.12	$492.29	$859.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $428.08 / $513.70 / $635.80	Facility		$428.08	$513.70	$635.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $468.71 / $470.89 / $470.89	Professional		$468.71	$470.89	$470.89
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 $363.42 / $599.32 / $915.06	Professional		$363.42	$599.32	$915.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $428.08 / $642.04 / $884.11	Professional		$428.08	$642.04	$884.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.78 / $482.37 / $670.34	Professional		$46.78	$482.37	$670.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,904.00 / $6,111.00 / $9,245.00	Facility		$2,904.00	$6,111.00	$9,245.00
United Facility/Professional Professional Modifier Low / Median / High Price $432.10 / $582.20 / $998.66	Professional		$432.10	$582.20	$998.66