Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.04 / $3,785.00 / $9,863.00	Facility		$638.04	$3,785.00	$9,863.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.04 / $758.69 / $1,456.52	Professional		$638.04	$758.69	$1,456.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,405.00 / $14,996.00	Facility		$1,712.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $555.08 / $768.28 / $1,332.57	Professional		$555.08	$768.28	$1,332.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $708.43 / $1,031.58 / $1,031.58	Facility		$708.43	$1,031.58	$1,031.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $635.99 / $905.32 / $905.32	Professional		$635.99	$905.32	$905.32
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 $649.40 / $946.48 / $1,537.00	Professional		$649.40	$946.48	$1,537.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $725.98 / $1,011.02 / $1,522.14	Professional		$725.98	$1,011.02	$1,522.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $606.36 / $1,065.56	Professional		$75.89	$606.36	$1,065.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,513.00 / $7,847.00	Facility		$2,840.00	$5,513.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $684.80 / $913.07 / $1,525.42	Professional		$684.80	$913.07	$1,525.42