Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $639.89 / $5,355.00 / $10,817.74	Facility		$639.89	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.90 / $420.39 / $730.21	Professional		$400.90	$420.39	$730.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,025.00 / $8,800.00	Facility		$1,152.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.77 / $472.51 / $773.81	Professional		$325.77	$472.51	$773.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $387.74 / $465.29 / $727.02	Facility		$387.74	$465.29	$727.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $426.51 / $426.51 / $756.09	Professional		$426.51	$426.51	$756.09
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 $329.35 / $542.84 / $825.56	Professional		$329.35	$542.84	$825.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $375.84 / $572.60 / $797.63	Professional		$375.84	$572.60	$797.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.63 / $429.52 / $597.33	Professional		$46.63	$429.52	$597.33
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 $368.13 / $522.54 / $893.13	Professional		$368.13	$522.54	$893.13