Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.11 / $3,325.00 / $10,635.00	Facility		$512.11	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.39 / $344.39 / $1,110.47	Professional		$344.39	$344.39	$1,110.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,722.00 / $7,755.10 / $13,314.43	Facility		$2,722.00	$7,755.10	$13,314.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.03 / $470.18 / $802.96	Professional		$342.03	$470.18	$802.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $406.93 / $488.32 / $604.39	Facility		$406.93	$488.32	$604.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $410.51 / $447.62 / $447.62	Professional		$410.51	$447.62	$447.62
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 $359.24 / $567.03 / $788.44	Professional		$359.24	$567.03	$788.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $372.79 / $571.82 / $789.57	Professional		$372.79	$571.82	$789.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $349.60 / $569.84	Professional		$75.93	$349.60	$569.84
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 $377.98 / $543.15 / $859.55	Professional		$377.98	$543.15	$859.55