Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.10 / $6,599.00 / $12,565.00	Facility		$769.10	$6,599.00	$12,565.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.92 / $442.03 / $1,409.98	Professional		$434.92	$442.03	$1,409.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,565.00 / $5,480.00 / $25,522.00	Facility		$2,565.00	$5,480.00	$25,522.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.98 / $479.15 / $776.42	Professional		$333.98	$479.15	$776.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $407.50 / $489.00 / $764.07	Facility		$407.50	$489.00	$764.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $448.25 / $448.25 / $794.63	Professional		$448.25	$448.25	$794.63
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 / $570.49 / $869.51	Professional		$381.90	$570.49	$869.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $412.81 / $604.46 / $840.10	Professional		$412.81	$604.46	$840.10
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 $4,070.00 / $8,448.00 / $13,382.00	Facility		$4,070.00	$8,448.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $380.67 / $535.72 / $895.78	Professional		$380.67	$535.72	$895.78