Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.16 / $2,547.00 / $10,635.00	Facility		$747.16	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.46 / $502.46 / $1,326.49	Professional		$502.46	$502.46	$1,326.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,742.00 / $8,800.00	Facility		$1,152.00	$2,742.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.46 / $593.48 / $990.95	Professional		$411.46	$593.48	$990.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $502.93 / $603.52 / $942.99	Facility		$502.93	$603.52	$942.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $553.22 / $553.22 / $980.72	Professional		$553.22	$553.22	$980.72
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 $429.37 / $704.10 / $1,073.38	Professional		$429.37	$704.10	$1,073.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $454.50 / $720.74 / $1,073.38	Professional		$454.50	$720.74	$1,073.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.30 / $442.19 / $731.56	Professional		$38.30	$442.19	$731.56
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,578.00 / $10,075.00	Facility		$3,206.00	$6,578.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $473.33 / $691.30 / $1,104.06	Professional		$473.33	$691.30	$1,104.06