Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.23 / $6,345.00 / $11,627.00	Facility		$825.23	$6,345.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.96 / $554.96 / $1,905.28	Professional		$554.96	$554.96	$1,905.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,202.00 / $5,711.00 / $25,522.00	Facility		$2,202.00	$5,711.00	$25,522.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $464.71 / $637.72 / $1,121.41	Professional		$464.71	$637.72	$1,121.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $563.22 / $675.86 / $836.54	Facility		$563.22	$675.86	$836.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $560.89 / $619.54 / $619.54	Professional		$560.89	$619.54	$619.54
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 $501.21 / $780.42 / $1,185.80	Professional		$501.21	$780.42	$1,185.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $563.22 / $792.70 / $1,168.84	Professional		$563.22	$792.70	$1,168.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $582.80 / $834.78	Professional		$75.89	$582.80	$834.78
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,448.00 / $13,382.00	Facility		$4,070.00	$8,448.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $523.33 / $706.34 / $1,174.59	Professional		$523.33	$706.34	$1,174.59