Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.34 / $5,355.00 / $10,817.74	Facility		$633.34	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.92 / $425.92 / $854.24	Professional		$425.92	$425.92	$854.24
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 $336.97 / $456.36 / $761.03	Professional		$336.97	$456.36	$761.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $411.74 / $494.09 / $611.54	Facility		$411.74	$494.09	$611.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $449.46 / $452.91 / $452.91	Professional		$449.46	$452.91	$452.91
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 $405.33 / $574.99 / $867.12	Professional		$405.33	$574.99	$867.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $425.38 / $584.44 / $867.12	Professional		$425.38	$584.44	$867.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $412.31 / $602.99	Professional		$75.89	$412.31	$602.99
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 $383.27 / $513.80 / $892.86	Professional		$383.27	$513.80	$892.86