Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.12 / $3,325.00 / $10,635.00	Facility		$555.12	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.56 / $365.56 / $825.01	Professional		$365.56	$365.56	$825.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,894.00 / $8,800.00	Facility		$1,152.00	$2,894.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.90 / $327.57 / $571.28	Professional		$229.90	$327.57	$571.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $337.44 / $404.93 / $501.19	Facility		$337.44	$404.93	$501.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $287.57 / $371.18 / $371.18	Professional		$287.57	$371.18	$371.18
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 $298.82 / $472.42 / $716.47	Professional		$298.82	$472.42	$716.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $303.57 / $503.98 / $692.24	Professional		$303.57	$503.98	$692.24
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 $318.68 / $459.69 / $743.21	Professional		$318.68	$459.69	$743.21