Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.87 / $2,547.00 / $10,635.00	Facility		$530.87	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.01 / $357.01 / $1,136.66	Professional		$357.01	$357.01	$1,136.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,525.00 / $3,392.00 / $14,996.00	Facility		$1,525.00	$3,392.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.07 / $371.36 / $640.42	Professional		$283.07	$371.36	$640.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $329.64 / $395.57 / $618.08	Facility		$329.64	$395.57	$618.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $362.60 / $374.25 / $642.79	Professional		$362.60	$374.25	$642.79
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 $332.86 / $473.54 / $702.51	Professional		$332.86	$473.54	$702.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $332.86 / $489.75 / $678.75	Professional		$332.86	$489.75	$678.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.63 / $378.33 / $521.89	Professional		$46.63	$378.33	$521.89
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 $302.77 / $420.46 / $729.14	Professional		$302.77	$420.46	$729.14