Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $623.29 / $2,547.00 / $10,635.00	Facility		$623.29	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.16 / $419.16 / $1,414.91	Professional		$419.16	$419.16	$1,414.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $409.38 / $540.10 / $889.90	Professional		$409.38	$540.10	$889.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $496.98 / $596.38 / $738.14	Facility		$496.98	$596.38	$738.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $489.45 / $546.67 / $546.67	Professional		$489.45	$546.67	$546.67
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 $460.28 / $692.98 / $1,033.20	Professional		$460.28	$692.98	$1,033.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $476.52 / $710.17 / $1,042.42	Professional		$476.52	$710.17	$1,042.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $486.06 / $637.57 / $845.47	Professional		$486.06	$637.57	$845.47
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $452.13 / $664.07 / $1,120.98	Professional		$452.13	$664.07	$1,120.98