Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $722.40 / $3,325.00 / $10,635.00	Facility		$722.40	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $472.53 / $485.81 / $1,309.39	Professional		$472.53	$485.81	$1,309.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,264.00 / $14,996.00	Facility		$1,712.00	$3,264.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $396.89 / $524.00 / $932.53	Professional		$396.89	$524.00	$932.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $461.23 / $553.48 / $685.04	Facility		$461.23	$553.48	$685.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $504.03 / $507.35 / $507.35	Professional		$504.03	$507.35	$507.35
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 $403.16 / $645.73 / $985.64	Professional		$403.16	$645.73	$985.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $461.23 / $687.54 / $952.30	Professional		$461.23	$687.54	$952.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $504.24 / $693.87	Professional		$42.05	$504.24	$693.87
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 $461.94 / $625.69 / $1,074.08	Professional		$461.94	$625.69	$1,074.08