Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.37 / $4,723.00 / $11,627.00	Facility		$423.37	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.37 / $423.37 / $937.06	Professional		$423.37	$423.37	$937.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,965.67 / $4,089.29 / $7,640.32	Facility		$1,965.67	$4,089.29	$7,640.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.21 / $521.70 / $936.11	Professional		$390.21	$521.70	$936.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $437.52 / $538.24 / $666.18	Facility		$437.52	$538.24	$666.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $486.34 / $493.38 / $493.38	Professional		$486.34	$493.38	$493.38
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 $512.79 / $627.94 / $960.61	Professional		$512.79	$627.94	$960.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $515.80 / $633.46 / $960.61	Professional		$515.80	$633.46	$960.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $418.27 / $555.67 / $740.69	Professional		$418.27	$555.67	$740.69
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 $434.04 / $616.89 / $1,046.85	Professional		$434.04	$616.89	$1,046.85