Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $539.44 / $5,398.84 / $10,635.00	Facility		$539.44	$5,398.84	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.77 / $442.07 / $688.17	Professional		$362.77	$442.07	$688.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.00 / $4,932.00 / $25,522.00	Facility		$2,202.00	$4,932.00	$25,522.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.85 / $424.63 / $708.50	Professional		$298.85	$424.63	$708.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $351.59 / $421.91 / $522.21	Facility		$351.59	$421.91	$522.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $386.75 / $386.75 / $424.54	Professional		$386.75	$386.75	$424.54
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 $353.83 / $499.53 / $738.30	Professional		$353.83	$499.53	$738.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $368.12 / $513.49 / $738.30	Professional		$368.12	$513.49	$738.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.63 / $378.33 / $521.89	Professional		$46.63	$378.33	$521.89
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,448.00 / $13,382.00	Facility		$4,070.00	$8,448.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $334.49 / $462.96 / $772.67	Professional		$334.49	$462.96	$772.67