Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.04 / $3,325.00 / $10,635.00	Facility		$704.04	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.46 / $473.46 / $1,391.71	Professional		$473.46	$473.46	$1,391.71
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 $446.31 / $620.62 / $1,047.79	Professional		$446.31	$620.62	$1,047.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $558.00 / $669.60 / $828.78	Facility		$558.00	$669.60	$828.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $532.80 / $613.79 / $613.79	Professional		$532.80	$613.79	$613.79
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 $496.21 / $725.41 / $1,074.28	Professional		$496.21	$725.41	$1,074.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $507.25 / $766.61 / $1,085.50	Professional		$507.25	$766.61	$1,085.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $383.03 / $696.86	Professional		$78.92	$383.03	$696.86
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 $487.58 / $686.70 / $1,214.84	Professional		$487.58	$686.70	$1,214.84