Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $887.33 / $6,021.00 / $11,627.00	Facility		$887.33	$6,021.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $556.65 / $584.33 / $1,303.60	Professional		$556.65	$584.33	$1,303.60
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 $463.66 / $626.69 / $1,030.04	Professional		$463.66	$626.69	$1,030.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $537.87 / $645.44 / $798.88	Facility		$537.87	$645.44	$798.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $591.66 / $591.66 / $625.13	Professional		$591.66	$591.66	$625.13
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 $456.51 / $753.02 / $1,152.84	Professional		$456.51	$753.02	$1,152.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $497.50 / $802.56 / $1,113.85	Professional		$497.50	$802.56	$1,113.85
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 $2,466.00 / $4,404.00 / $6,831.00	Facility		$2,466.00	$4,404.00	$6,831.00
United Facility/Professional Professional Modifier Low / Median / High Price $507.70 / $726.12 / $1,256.41	Professional		$507.70	$726.12	$1,256.41