Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $710.37 / $5,355.00 / $10,817.74	Facility		$710.37	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.72 / $477.72 / $1,262.54	Professional		$477.72	$477.72	$1,262.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,010.00 / $36,529.00	Facility		$2,097.00	$8,010.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.90 / $500.65 / $828.51	Professional		$352.90	$500.65	$828.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $464.68 / $557.62 / $690.17	Facility		$464.68	$557.62	$690.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $443.96 / $511.15 / $511.15	Professional		$443.96	$511.15	$511.15
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 $403.16 / $646.03 / $966.07	Professional		$403.16	$646.03	$966.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $463.66 / $650.55 / $961.66	Professional		$463.66	$650.55	$961.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $475.20 / $684.17	Professional		$75.93	$475.20	$684.17
United Facility/Professional Facility Modifier Low / Median / High Price $3,793.00 / $6,579.00 / $10,989.00	Facility		$3,793.00	$6,579.00	$10,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $424.60 / $614.97 / $999.68	Professional		$424.60	$614.97	$999.68