Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.22 / $3,660.00 / $11,581.00	Facility		$655.22	$3,660.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.63 / $440.63 / $663.52	Professional		$440.63	$440.63	$663.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,528.00 / $14,996.00	Facility		$1,760.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.55 / $472.94 / $751.85	Professional		$346.55	$472.94	$751.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $445.02 / $534.02 / $660.97	Facility		$445.02	$534.02	$660.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $448.88 / $489.52 / $489.52	Professional		$448.88	$489.52	$489.52
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 $373.71 / $611.57 / $868.94	Professional		$373.71	$611.57	$868.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $409.75 / $619.36 / $868.94	Professional		$409.75	$619.36	$868.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.30 / $433.05 / $647.46	Professional		$68.30	$433.05	$647.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,998.00 / $7,847.00	Facility		$2,840.00	$5,998.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $407.56 / $559.44 / $883.58	Professional		$407.56	$559.44	$883.58