Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.24 / $5,355.00 / $10,817.74	Facility		$625.24	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.47 / $420.47 / $842.62	Professional		$420.47	$420.47	$842.62
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 $330.31 / $472.27 / $790.46	Professional		$330.31	$472.27	$790.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $405.77 / $486.92 / $602.66	Facility		$405.77	$486.92	$602.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $446.35 / $446.35 / $475.64	Professional		$446.35	$446.35	$475.64
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 $344.26 / $563.98 / $852.12	Professional		$344.26	$563.98	$852.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $405.77 / $571.60 / $846.24	Professional		$405.77	$571.60	$846.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $401.20 / $583.91	Professional		$75.89	$401.20	$583.91
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 $363.94 / $530.30 / $930.89	Professional		$363.94	$530.30	$930.89