Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.49 / $5,355.00 / $10,817.74	Facility		$489.49	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.18 / $329.18 / $1,020.04	Professional		$329.18	$329.18	$1,020.04
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 $243.86 / $341.40 / $593.72	Professional		$243.86	$341.40	$593.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $318.73 / $382.48 / $597.62	Facility		$318.73	$382.48	$597.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $350.60 / $350.60 / $621.53	Professional		$350.60	$350.60	$621.53
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 $320.58 / $445.02 / $660.77	Professional		$320.58	$445.02	$660.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $325.45 / $452.79 / $660.88	Professional		$325.45	$452.79	$660.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $325.41 / $486.05	Professional		$75.89	$325.41	$486.05
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 $290.50 / $427.21 / $680.27	Professional		$290.50	$427.21	$680.27