Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.49 / $8,553.00 / $11,627.00	Facility		$343.49	$8,553.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.49 / $375.95 / $800.14	Professional		$343.49	$375.95	$800.14
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 $347.46 / $477.62 / $815.72	Professional		$347.46	$477.62	$815.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $405.45 / $486.54 / $602.20	Facility		$405.45	$486.54	$602.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $416.12 / $446.00 / $446.00	Professional		$416.12	$446.00	$446.00
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 $367.36 / $567.64 / $849.51	Professional		$367.36	$567.64	$849.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $380.33 / $593.67 / $849.51	Professional		$380.33	$593.67	$849.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $349.59 / $534.22	Professional		$75.93	$349.59	$534.22
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 $386.07 / $525.02 / $882.76	Professional		$386.07	$525.02	$882.76