Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.05 / $4,723.00 / $11,627.00	Facility		$644.05	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $607.54 / $644.05 / $1,291.08	Professional		$607.54	$644.05	$1,291.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,426.00 / $12,098.50 / $21,233.00	Facility		$4,426.00	$12,098.50	$21,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $533.41 / $727.40 / $1,203.25	Professional		$533.41	$727.40	$1,203.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $627.54 / $753.06 / $932.08	Facility		$627.54	$753.06	$932.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $683.16 / $690.31 / $690.31	Professional		$683.16	$690.31	$690.31
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 $557.33 / $878.56 / $1,305.15	Professional		$557.33	$878.56	$1,305.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $627.54 / $880.83 / $1,305.15	Professional		$627.54	$880.83	$1,305.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $609.94 / $895.36	Professional		$75.93	$609.94	$895.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,303.00 / $4,021.00 / $6,831.00	Facility		$1,303.00	$4,021.00	$6,831.00
United Facility/Professional Professional Modifier Low / Median / High Price $610.79 / $831.75 / $1,386.65	Professional		$610.79	$831.75	$1,386.65