Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $909.93 / $3,325.00 / $10,635.00	Facility		$909.93	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $611.91 / $611.91 / $1,615.47	Professional		$611.91	$611.91	$1,615.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,405.00 / $14,996.00	Facility		$1,712.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.29 / $610.96 / $1,031.25	Professional		$450.29	$610.96	$1,031.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $564.79 / $677.75 / $838.86	Facility		$564.79	$677.75	$838.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $566.99 / $621.27 / $621.27	Professional		$566.99	$621.27	$621.27
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 $479.39 / $790.71 / $1,205.45	Professional		$479.39	$790.71	$1,205.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $531.08 / $838.30 / $1,164.68	Professional		$531.08	$838.30	$1,164.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $567.08 / $827.20	Professional		$75.93	$567.08	$827.20
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 $524.33 / $773.23 / $1,241.83	Professional		$524.33	$773.23	$1,241.83