Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $887.83 / $9,040.00 / $12,109.00	Facility		$887.83	$9,040.00	$12,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $597.05 / $597.05 / $980.44	Professional		$597.05	$597.05	$980.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,010.00 / $36,529.00	Facility		$2,097.00	$8,010.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.08 / $686.17 / $1,110.97	Professional		$512.08	$686.17	$1,110.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $604.30 / $725.17 / $897.55	Facility		$604.30	$725.17	$897.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $663.28 / $664.74 / $664.74	Professional		$663.28	$664.74	$664.74
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 $512.08 / $846.04 / $1,270.14	Professional		$512.08	$846.04	$1,270.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $533.40 / $852.92 / $1,281.66	Professional		$533.40	$852.92	$1,281.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.28 / $584.11 / $845.12	Professional		$75.28	$584.11	$845.12
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 $590.69 / $811.11 / $1,305.26	Professional		$590.69	$811.11	$1,305.26