Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.65 / $4,723.00 / $11,627.00	Facility		$603.65	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $603.65 / $603.65 / $1,219.91	Professional		$603.65	$603.65	$1,219.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,918.00 / $19,117.00	Facility		$2,003.00	$4,918.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $497.30 / $705.75 / $1,182.04	Professional		$497.30	$705.75	$1,182.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $585.07 / $702.08 / $868.98	Facility		$585.07	$702.08	$868.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $643.58 / $643.58 / $717.20	Professional		$643.58	$643.58	$717.20
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 $512.79 / $819.10 / $1,228.65	Professional		$512.79	$819.10	$1,228.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $585.07 / $831.26 / $1,225.18	Professional		$585.07	$831.26	$1,225.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $554.19 / $848.34	Professional		$75.89	$554.19	$848.34
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 $562.92 / $798.36 / $1,284.02	Professional		$562.92	$798.36	$1,284.02