Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.29 / $2,547.00 / $10,635.00	Facility		$691.29	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.75 / $464.89 / $1,227.31	Professional		$443.75	$464.89	$1,227.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,742.00 / $8,800.00	Facility		$1,152.00	$2,742.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.34 / $517.41 / $923.06	Professional		$386.34	$517.41	$923.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $428.12 / $513.74 / $635.87	Facility		$428.12	$513.74	$635.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $455.40 / $470.93 / $470.93	Professional		$455.40	$470.93	$470.93
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 $363.37 / $599.36 / $918.67	Professional		$363.37	$599.36	$918.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $428.12 / $644.54 / $907.07	Professional		$428.12	$644.54	$907.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $448.97 / $650.22	Professional		$75.93	$448.97	$650.22
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 $428.32 / $577.96 / $946.04	Professional		$428.32	$577.96	$946.04