Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.53 / $3,401.00 / $11,581.00	Facility		$538.53	$3,401.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.16 / $367.41 / $730.89	Professional		$362.16	$367.41	$730.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,792.00 / $8,800.00	Facility		$1,152.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.77 / $438.74 / $730.45	Professional		$299.77	$438.74	$730.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $351.00 / $421.20 / $521.32	Facility		$351.00	$421.20	$521.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $340.34 / $386.10 / $386.10	Professional		$340.34	$386.10	$386.10
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 $346.26 / $491.40 / $735.80	Professional		$346.26	$491.40	$735.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $362.73 / $503.20 / $735.80	Professional		$362.73	$503.20	$735.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $338.44 / $505.60	Professional		$75.89	$338.44	$505.60
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 $333.32 / $468.55 / $779.52	Professional		$333.32	$468.55	$779.52