Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $883.21 / $5,072.00 / $11,581.00	Facility		$883.21	$5,072.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.72 / $505.66 / $1,134.26	Professional		$502.72	$505.66	$1,134.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,967.00 / $14,996.00	Facility		$1,760.00	$3,967.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.03 / $526.71 / $906.26	Professional		$392.03	$526.71	$906.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $466.13 / $559.36 / $873.99	Facility		$466.13	$559.36	$873.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $512.74 / $514.74 / $908.96	Professional		$512.74	$514.74	$908.96
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 $403.16 / $652.58 / $998.52	Professional		$403.16	$652.58	$998.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $446.74 / $696.33 / $964.75	Professional		$446.74	$696.33	$964.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.38 / $447.24 / $650.65	Professional		$68.38	$447.24	$650.65
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 $440.04 / $619.23 / $1,039.15	Professional		$440.04	$619.23	$1,039.15