Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.87 / $4,508.60 / $10,635.00	Facility		$465.87	$4,508.60	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.12 / $306.12 / $983.00	Professional		$306.12	$306.12	$983.00
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 $248.04 / $329.37 / $573.25	Professional		$248.04	$329.37	$573.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $282.39 / $338.88 / $529.50	Facility		$282.39	$338.88	$529.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $310.64 / $323.86 / $550.67	Professional		$310.64	$323.86	$550.67
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 $281.77 / $412.32 / $607.51	Professional		$281.77	$412.32	$607.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $284.00 / $427.91 / $586.96	Professional		$284.00	$427.91	$586.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $315.50 / $439.64	Professional		$42.05	$315.50	$439.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $277.37 / $381.24 / $659.21	Professional		$277.37	$381.24	$659.21