Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.28 / $2,849.00 / $10,268.00	Facility		$387.28	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.38 / $387.28 / $712.65	Professional		$285.38	$387.28	$712.65
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 $250.94 / $421.81 / $828.88	Professional		$250.94	$421.81	$828.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $263.68 / $316.42 / $391.63	Facility		$263.68	$316.42	$391.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $241.87 / $388.27 / $388.27	Professional		$241.87	$388.27	$388.27
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 $276.87 / $430.62 / $805.69	Professional		$276.87	$430.62	$805.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $290.05 / $441.21 / $833.93	Professional		$290.05	$441.21	$833.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.24 / $360.98 / $536.39	Professional		$36.24	$360.98	$536.39
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 $389.07 / $548.80 / $886.67	Professional		$389.07	$548.80	$886.67