Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.12 / $2,547.00 / $10,635.00	Facility		$801.12	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $514.70 / $538.75 / $1,422.30	Professional		$514.70	$538.75	$1,422.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,419.31 / $5,018.97 / $9,031.71	Facility		$2,419.31	$5,018.97	$9,031.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.17 / $548.41 / $957.78	Professional		$402.17	$548.41	$957.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $496.13 / $595.36 / $930.24	Facility		$496.13	$595.36	$930.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $545.74 / $545.74 / $967.46	Professional		$545.74	$545.74	$967.46
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 $449.95 / $694.58 / $1,061.13	Professional		$449.95	$694.58	$1,061.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $496.13 / $737.19 / $1,025.24	Professional		$496.13	$737.19	$1,025.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $514.63 / $736.57	Professional		$75.93	$514.63	$736.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,952.00 / $4,132.00	Facility		$1,020.00	$1,952.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $459.18 / $669.78 / $1,091.26	Professional		$459.18	$669.78	$1,091.26