Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.29 / $6,251.00 / $11,581.00	Facility		$797.29	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $536.16 / $536.16 / $1,455.38	Professional		$536.16	$536.16	$1,455.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,191.00 / $3,025.00 / $8,800.00	Facility		$1,191.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $422.34 / $578.97 / $1,024.03	Professional		$422.34	$578.97	$1,024.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $519.50 / $623.40 / $771.59	Facility		$519.50	$623.40	$771.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $546.91 / $571.45 / $571.45	Professional		$546.91	$571.45	$571.45
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 $497.00 / $727.30 / $1,094.22	Professional		$497.00	$727.30	$1,094.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $539.75 / $750.41 / $1,094.22	Professional		$539.75	$750.41	$1,094.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $490.05 / $726.54	Professional		$75.89	$490.05	$726.54
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 $497.01 / $701.33 / $1,146.15	Professional		$497.01	$701.33	$1,146.15