Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $938.15 / $3,325.00 / $10,635.00	Facility		$938.15	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.87 / $630.90 / $1,703.49	Professional		$613.87	$630.90	$1,703.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,931.00 / $3,554.00 / $19,117.00	Facility		$1,931.00	$3,554.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $517.91 / $687.54 / $1,220.36	Professional		$517.91	$687.54	$1,220.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $599.66 / $719.60 / $890.67	Facility		$599.66	$719.60	$890.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $659.64 / $659.64 / $671.27	Professional		$659.64	$659.64	$671.27
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 $508.73 / $839.54 / $1,283.22	Professional		$508.73	$839.54	$1,283.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $599.66 / $898.17 / $1,239.82	Professional		$599.66	$898.17	$1,239.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $626.91 / $889.32	Professional		$75.89	$626.91	$889.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,647.00 / $4,410.00 / $7,427.00	Facility		$2,647.00	$4,410.00	$7,427.00
United Facility/Professional Professional Modifier Low / Median / High Price $609.58 / $809.55 / $1,399.46	Professional		$609.58	$809.55	$1,399.46