Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $470.75 / $2,292.00 / $9,534.00	Facility		$470.75	$2,292.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.54 / $469.40 / $890.45	Professional		$438.54	$469.40	$890.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,622.00 / $3,092.00 / $14,996.00	Facility		$1,622.00	$3,092.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.95 / $451.88 / $779.69	Professional		$337.95	$451.88	$779.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $404.59 / $485.51 / $600.91	Facility		$404.59	$485.51	$600.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $451.70 / $475.85 / $475.85	Professional		$451.70	$475.85	$475.85
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 $407.86 / $605.69 / $889.49	Professional		$407.86	$605.69	$889.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $432.59 / $615.32 / $908.44	Professional		$432.59	$615.32	$908.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.38 / $444.11 / $653.13	Professional		$68.38	$444.11	$653.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,115.58 / $3,724.00 / $6,238.00	Facility		$2,115.58	$3,724.00	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $405.13 / $562.94 / $942.25	Professional		$405.13	$562.94	$942.25