Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.78 / $4,723.00 / $10,817.74	Facility		$345.78	$4,723.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.99 / $246.99 / $652.04	Professional		$246.99	$246.99	$652.04
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 $220.49 / $300.91 / $523.73	Professional		$220.49	$300.91	$523.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $238.45 / $286.14 / $354.16	Facility		$238.45	$286.14	$354.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $262.30 / $262.30 / $269.95	Professional		$262.30	$262.30	$269.95
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 $250.18 / $346.12 / $504.58	Professional		$250.18	$346.12	$504.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $262.30 / $354.00 / $504.58	Professional		$262.30	$354.00	$504.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $195.92 / $274.18 / $384.38	Professional		$195.92	$274.18	$384.38
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 $223.69 / $322.25 / $528.91	Professional		$223.69	$322.25	$528.91