Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.01 / $3,696.00 / $11,627.00	Facility		$336.01	$3,696.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.01 / $336.01 / $782.53	Professional		$336.01	$336.01	$782.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,426.00 / $12,098.50 / $21,233.00	Facility		$4,426.00	$12,098.50	$21,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.51 / $406.03 / $668.65	Professional		$281.51	$406.03	$668.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $396.67 / $476.00 / $589.16	Facility		$396.67	$476.00	$589.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $386.69 / $436.34 / $436.34	Professional		$386.69	$436.34	$436.34
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 $348.03 / $516.91 / $776.05	Professional		$348.03	$516.91	$776.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $357.09 / $555.34 / $827.09	Professional		$357.09	$555.34	$827.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $349.59 / $569.79	Professional		$75.93	$349.59	$569.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $344.44 / $496.56 / $888.47	Professional		$344.44	$496.56	$888.47