Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.64 / $3,325.00 / $10,635.00	Facility		$662.64	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $445.62 / $445.62 / $1,176.44	Professional		$445.62	$445.62	$1,176.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,894.00 / $8,800.00	Facility		$1,152.00	$2,894.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.19 / $465.67 / $781.92	Professional		$329.19	$465.67	$781.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $431.18 / $517.41 / $640.41	Facility		$431.18	$517.41	$640.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $359.41 / $474.30 / $474.30	Professional		$359.41	$474.30	$474.30
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 $365.65 / $597.75 / $905.47	Professional		$365.65	$597.75	$905.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $431.18 / $607.63 / $898.57	Professional		$431.18	$607.63	$898.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $416.15 / $629.21	Professional		$75.89	$416.15	$629.21
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 $401.06 / $582.09 / $989.72	Professional		$401.06	$582.09	$989.72