Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.21 / $5,217.00 / $11,627.00	Facility		$801.21	$5,217.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.80 / $538.80 / $1,437.41	Professional		$538.80	$538.80	$1,437.41
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 $410.48 / $568.14 / $947.93	Professional		$410.48	$568.14	$947.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $524.34 / $629.21 / $778.78	Facility		$524.34	$629.21	$778.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $527.29 / $576.77 / $576.77	Professional		$527.29	$576.77	$576.77
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 $447.65 / $734.08 / $1,090.10	Professional		$447.65	$734.08	$1,090.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $524.34 / $736.86 / $1,090.10	Professional		$524.34	$736.86	$1,090.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $529.33 / $774.15	Professional		$75.93	$529.33	$774.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,998.00 / $7,847.00	Facility		$2,840.00	$5,998.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $484.93 / $692.54 / $1,131.76	Professional		$484.93	$692.54	$1,131.76