Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.09 / $3,325.00 / $10,635.00	Facility		$489.09	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.91 / $336.61 / $661.26	Professional		$328.91	$336.61	$661.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,426.00 / $12,098.50 / $21,233.00	Facility		$4,426.00	$12,098.50	$21,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.77 / $409.58 / $688.11	Professional		$271.77	$409.58	$688.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $318.36 / $382.03 / $472.84	Facility		$318.36	$382.03	$472.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $291.42 / $350.20 / $350.20	Professional		$291.42	$350.20	$350.20
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 $318.36 / $445.70 / $670.73	Professional		$318.36	$445.70	$670.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $332.05 / $456.95 / $670.73	Professional		$332.05	$456.95	$670.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.53 / $306.08 / $457.28	Professional		$53.53	$306.08	$457.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,665.00 / $5,268.00	Facility		$1,689.00	$2,665.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $301.98 / $428.26 / $705.08	Professional		$301.98	$428.26	$705.08