Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $852.08 / $6,251.00 / $11,581.00	Facility		$852.08	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $573.02 / $573.02 / $1,512.77	Professional		$573.02	$573.02	$1,512.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $5,042.00 / $19,117.00	Facility		$2,003.00	$5,042.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $465.79 / $676.31 / $1,119.59	Professional		$465.79	$676.31	$1,119.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $555.30 / $666.37 / $824.77	Facility		$555.30	$666.37	$824.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $610.84 / $610.84 / $666.23	Professional		$610.84	$610.84	$666.23
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 $470.34 / $777.43 / $1,166.15	Professional		$470.34	$777.43	$1,166.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $555.30 / $789.40 / $1,160.65	Professional		$555.30	$789.40	$1,160.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $533.10 / $802.97	Professional		$75.89	$533.10	$802.97
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,578.00 / $10,075.00	Facility		$3,206.00	$6,578.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $531.05 / $708.95 / $1,229.59	Professional		$531.05	$708.95	$1,229.59