Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $888.92 / $5,355.00 / $10,817.74	Facility		$888.92	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $558.77 / $585.01 / $1,875.48	Professional		$558.77	$585.01	$1,875.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $471.36 / $622.57 / $1,082.68	Professional		$471.36	$622.57	$1,082.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $538.79 / $646.54 / $800.25	Facility		$538.79	$646.54	$800.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $592.66 / $592.66 / $601.96	Professional		$592.66	$592.66	$601.96
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 $457.30 / $754.30 / $1,156.17	Professional		$457.30	$754.30	$1,156.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $538.79 / $811.28 / $1,132.53	Professional		$538.79	$811.28	$1,132.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $557.73 / $801.77	Professional		$75.93	$557.73	$801.77
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 $522.20 / $732.95 / $1,260.79	Professional		$522.20	$732.95	$1,260.79