Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.20 / $4,085.00 / $10,268.00	Facility		$482.20	$4,085.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.27 / $325.80 / $649.39	Professional		$324.27	$325.80	$649.39
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 $240.45 / $342.29 / $571.14	Professional		$240.45	$342.29	$571.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $314.31 / $377.17 / $466.83	Facility		$314.31	$377.17	$466.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $285.33 / $345.74 / $345.74	Professional		$285.33	$345.74	$345.74
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 $276.86 / $428.20 / $645.89	Professional		$276.86	$428.20	$645.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $314.31 / $440.03 / $652.17	Professional		$314.31	$440.03	$652.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $308.73 / $482.83	Professional		$75.89	$308.73	$482.83
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 $290.70 / $386.59 / $670.01	Professional		$290.70	$386.59	$670.01