Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $967.97 / $3,983.00 / $10,268.00	Facility		$967.97	$3,983.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $862.90 / $1,149.80 / $1,704.28	Professional		$862.90	$1,149.80	$1,704.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $759.37 / $1,026.69 / $1,843.99	Professional		$759.37	$1,026.69	$1,843.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $955.30 / $1,391.04 / $1,391.04	Facility		$955.30	$1,391.04	$1,391.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $896.53 / $1,152.09 / $1,152.09	Professional		$896.53	$1,152.09	$1,152.09
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 $875.69 / $1,256.83 / $2,078.85	Professional		$875.69	$1,256.83	$2,078.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $924.49 / $1,332.05 / $2,004.25	Professional		$924.49	$1,332.05	$2,004.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.35 / $811.14 / $1,381.03	Professional		$111.35	$811.14	$1,381.03
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 $894.38 / $1,158.11 / $1,942.55	Professional		$894.38	$1,158.11	$1,942.55