Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,328.10 / $4,044.00 / $10,268.00	Facility		$1,328.10	$4,044.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $893.14 / $983.22 / $1,762.42	Professional		$893.14	$983.22	$1,762.42
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 $887.35 / $1,090.92 / $1,915.80	Professional		$887.35	$1,090.92	$1,915.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $989.02 / $1,440.14 / $1,440.14	Facility		$989.02	$1,440.14	$1,440.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,066.58 / $1,066.58 / $1,183.83	Professional		$1,066.58	$1,066.58	$1,183.83
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 $869.64 / $1,260.51 / $2,081.63	Professional		$869.64	$1,260.51	$2,081.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $906.60 / $1,362.79 / $2,081.63	Professional		$906.60	$1,362.79	$2,081.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.47 / $755.06 / $1,287.32	Professional		$115.47	$755.06	$1,287.32
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 $864.42 / $1,192.52 / $2,125.91	Professional		$864.42	$1,192.52	$2,125.91