Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.30 / $5,201.00 / $11,627.00	Facility		$813.30	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $522.16 / $546.94 / $1,443.92	Professional		$522.16	$546.94	$1,443.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $4,142.00 / $19,117.00	Facility		$2,009.00	$4,142.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.69 / $561.49 / $977.97	Professional		$408.69	$561.49	$977.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $503.93 / $604.72 / $748.47	Facility		$503.93	$604.72	$748.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $502.36 / $554.32 / $554.32	Professional		$502.36	$554.32	$554.32
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 $427.78 / $705.50 / $1,078.80	Professional		$427.78	$705.50	$1,078.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $503.93 / $758.80 / $1,042.32	Professional		$503.93	$758.80	$1,042.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $514.63 / $736.57	Professional		$75.93	$514.63	$736.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,904.00 / $6,111.00 / $9,245.00	Facility		$2,904.00	$6,111.00	$9,245.00
United Facility/Professional Professional Modifier Low / Median / High Price $484.42 / $673.64 / $1,112.63	Professional		$484.42	$673.64	$1,112.63