Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $658.21 / $5,201.00 / $11,627.00	Facility		$658.21	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.25 / $442.64 / $1,118.26	Professional		$440.25	$442.64	$1,118.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,967.00 / $14,996.00	Facility		$1,760.00	$3,967.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.34 / $456.40 / $775.32	Professional		$329.34	$456.40	$775.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $408.06 / $489.67 / $765.12	Facility		$408.06	$489.67	$765.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $448.87 / $448.87 / $795.72	Professional		$448.87	$448.87	$795.72
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 $381.90 / $571.28 / $872.05	Professional		$381.90	$571.28	$872.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $414.03 / $606.96 / $842.55	Professional		$414.03	$606.96	$842.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $439.54 / $624.23	Professional		$42.05	$439.54	$624.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,998.00 / $7,847.00	Facility		$2,840.00	$5,998.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $382.74 / $559.84 / $895.74	Professional		$382.74	$559.84	$895.74