Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.28 / $2,547.00 / $10,635.00	Facility		$645.28	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.83 / $433.95 / $1,145.63	Professional		$414.83	$433.95	$1,145.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,792.00 / $8,800.00	Facility		$1,152.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.58 / $445.20 / $767.78	Professional		$321.58	$445.20	$767.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $400.09 / $480.11 / $750.17	Facility		$400.09	$480.11	$750.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $440.10 / $440.10 / $780.18	Professional		$440.10	$440.10	$780.18
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 $381.90 / $560.13 / $854.43	Professional		$381.90	$560.13	$854.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $405.21 / $598.23 / $825.53	Professional		$405.21	$598.23	$825.53
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 $2,233.00 / $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 $382.90 / $540.12 / $879.31	Professional		$382.90	$540.12	$879.31