Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.58 / $2,006.00 / $9,516.00	Facility		$424.58	$2,006.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.57 / $424.58 / $751.86	Professional		$300.57	$424.58	$751.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,622.00 / $3,092.00 / $14,996.00	Facility		$1,622.00	$3,092.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $340.82 / $622.97	Professional		$245.47	$340.82	$622.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $303.69 / $364.43 / $569.41	Facility		$303.69	$364.43	$569.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $467.28 / $467.28 / $828.36	Professional		$467.28	$467.28	$828.36
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 $318.25 / $502.82 / $853.20	Professional		$318.25	$502.82	$853.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $326.13 / $518.26 / $883.45	Professional		$326.13	$518.26	$883.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.24 / $434.97 / $662.52	Professional		$36.24	$434.97	$662.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $2,869.00 / $5,457.00	Facility		$1,771.00	$2,869.00	$5,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $389.64 / $551.29 / $931.55	Professional		$389.64	$551.29	$931.55