Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.18 / $2,547.00 / $10,635.00	Facility		$464.18	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.16 / $312.16 / $628.65	Professional		$312.16	$312.16	$628.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,622.00 / $3,092.00 / $14,996.00	Facility		$1,622.00	$3,092.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.29 / $340.39 / $587.37	Professional		$247.29	$340.39	$587.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $302.37 / $362.84 / $449.10	Facility		$302.37	$362.84	$449.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $254.84 / $332.61 / $332.61	Professional		$254.84	$332.61	$332.61
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 $213.78 / $423.32 / $635.83	Professional		$213.78	$423.32	$635.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $259.50 / $427.67 / $635.83	Professional		$259.50	$427.67	$635.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.78 / $342.00 / $470.61	Professional		$46.78	$342.00	$470.61
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 $290.47 / $408.20 / $677.78	Professional		$290.47	$408.20	$677.78