Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.47 / $3,325.00 / $10,635.00	Facility		$413.47	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.47 / $271.47 / $476.24	Professional		$271.47	$271.47	$476.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.02 / $309.95 / $534.48	Professional		$225.02	$309.95	$534.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $250.63 / $300.76 / $372.25	Facility		$250.63	$300.76	$372.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $275.69 / $275.69 / $301.88	Professional		$275.69	$275.69	$301.88
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 $229.49 / $378.00 / $538.41	Professional		$229.49	$378.00	$538.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $250.76 / $380.71 / $553.80	Professional		$250.76	$380.71	$553.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $207.15 / $306.44 / $427.61	Professional		$207.15	$306.44	$427.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,665.00 / $5,268.00	Facility		$1,689.00	$2,665.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $245.00 / $323.98 / $556.55	Professional		$245.00	$323.98	$556.55