Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $764.51 / $2,606.00 / $10,635.00	Facility		$764.51	$2,606.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $514.13 / $514.13 / $975.30	Professional		$514.13	$514.13	$975.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,392.00 / $14,996.00	Facility		$1,712.00	$3,392.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $415.11 / $588.27 / $981.82	Professional		$415.11	$588.27	$981.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $473.56 / $568.27 / $887.93	Facility		$473.56	$568.27	$887.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $520.91 / $520.91 / $923.45	Professional		$520.91	$520.91	$923.45
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 $401.83 / $679.51 / $1,015.09	Professional		$401.83	$679.51	$1,015.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $473.56 / $712.98 / $980.76	Professional		$473.56	$712.98	$980.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $485.67 / $700.30	Professional		$75.93	$485.67	$700.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,549.42 / $3,724.00 / $6,238.00	Facility		$2,549.42	$3,724.00	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $461.66 / $624.49 / $1,045.96	Professional		$461.66	$624.49	$1,045.96