Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $830.12 / $3,602.00 / $10,268.00	Facility		$830.12	$3,602.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $558.25 / $558.25 / $1,501.36	Professional		$558.25	$558.25	$1,501.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $3,555.00 / $19,117.00	Facility		$2,003.00	$3,555.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $432.94 / $597.46 / $1,049.39	Professional		$432.94	$597.46	$1,049.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $529.54 / $635.45 / $786.51	Facility		$529.54	$635.45	$786.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $573.28 / $582.49 / $582.49	Professional		$573.28	$582.49	$582.49
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 $449.45 / $741.35 / $1,132.26	Professional		$449.45	$741.35	$1,132.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $519.33 / $789.58 / $1,093.96	Professional		$519.33	$789.58	$1,093.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.38 / $520.72 / $755.84	Professional		$68.38	$520.72	$755.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,998.00 / $7,847.00	Facility		$2,840.00	$5,998.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $530.84 / $716.41 / $1,323.25	Professional		$530.84	$716.41	$1,323.25