Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $4,309.35 / $10,635.00	Facility		$900.00	$4,309.35	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $558.98 / $594.50 / $1,185.95	Professional		$558.98	$594.50	$1,185.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,025.00 / $8,800.00	Facility		$1,152.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $444.98 / $621.09 / $986.41	Professional		$444.98	$621.09	$986.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $575.09 / $690.11 / $854.16	Facility		$575.09	$690.11	$854.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $621.08 / $632.60 / $632.60	Professional		$621.08	$632.60	$632.60
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 $503.95 / $767.50 / $1,167.04	Professional		$503.95	$767.50	$1,167.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $522.04 / $805.02 / $1,191.04	Professional		$522.04	$805.02	$1,191.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $545.16 / $831.63	Professional		$75.89	$545.16	$831.63
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 $523.03 / $763.98 / $1,230.66	Professional		$523.03	$763.98	$1,230.66