Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.81 / $3,313.56 / $10,268.00	Facility		$398.81	$3,313.56	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.14 / $2,061.59 / $3,313.56	Professional		$222.14	$2,061.59	$3,313.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.56 / $1,151.13 / $2,686.25	Professional		$235.56	$1,151.13	$2,686.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $212.01 / $254.41 / $314.88	Facility		$212.01	$254.41	$314.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,019.74 / $2,216.65 / $2,216.65	Professional		$1,019.74	$2,216.65	$2,216.65
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 $233.22 / $1,616.56 / $3,654.33	Professional		$233.22	$1,616.56	$3,654.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $235.55 / $1,730.49 / $3,680.28	Professional		$235.55	$1,730.49	$3,680.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $176.80 / $1,855.74 / $3,077.99	Professional		$176.80	$1,855.74	$3,077.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,665.00 / $5,268.00	Facility		$1,689.00	$2,665.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,539.38 / $2,407.33 / $4,336.10	Professional		$1,539.38	$2,407.33	$4,336.10