Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.96 / $3,219.00 / $10,405.00	Facility		$420.96	$3,219.00	$10,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.52 / $404.93 / $721.85	Professional		$303.52	$404.93	$721.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,191.00 / $3,025.00 / $8,800.00	Facility		$1,191.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.73 / $387.14 / $678.97	Professional		$277.73	$387.14	$678.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $358.47 / $430.16 / $532.42	Facility		$358.47	$430.16	$532.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $318.85 / $445.85 / $445.85	Professional		$318.85	$445.85	$445.85
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 $350.84 / $522.87 / $752.79	Professional		$350.84	$522.87	$752.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $359.47 / $544.12 / $770.00	Professional		$359.47	$544.12	$770.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $346.27 / $567.84	Professional		$75.93	$346.27	$567.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,647.00 / $4,410.00 / $7,351.00	Facility		$2,647.00	$4,410.00	$7,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $359.56 / $511.90 / $853.16	Professional		$359.56	$511.90	$853.16