Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.58 / $2,547.00 / $10,635.00	Facility		$550.58	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.08 / $370.26 / $977.49	Professional		$354.08	$370.26	$977.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,191.00 / $2,792.00 / $8,800.00	Facility		$1,191.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.45 / $369.44 / $629.24	Professional		$258.45	$369.44	$629.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $342.08 / $410.50 / $508.08	Facility		$342.08	$410.50	$508.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $339.77 / $376.29 / $376.29	Professional		$339.77	$376.29	$376.29
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 $290.63 / $478.92 / $726.66	Professional		$290.63	$478.92	$726.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $308.76 / $505.91 / $702.08	Professional		$308.76	$505.91	$702.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $389.68 / $541.83	Professional		$41.14	$389.68	$541.83
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 $317.57 / $447.67 / $746.08	Professional		$317.57	$447.67	$746.08