Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $871.63 / $3,027.00 / $10,268.00	Facility		$871.63	$3,027.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $728.61 / $936.80 / $1,629.47	Professional		$728.61	$936.80	$1,629.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $683.69 / $892.89 / $1,559.85	Professional		$683.69	$892.89	$1,559.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $809.23 / $1,178.33 / $1,178.33	Facility		$809.23	$1,178.33	$1,178.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $822.28 / $1,041.26 / $1,041.26	Professional		$822.28	$1,041.26	$1,041.26
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 $741.80 / $1,089.58 / $1,824.74	Professional		$741.80	$1,089.58	$1,824.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $821.05 / $1,166.25 / $1,754.61	Professional		$821.05	$1,166.25	$1,754.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.35 / $723.02 / $1,274.69	Professional		$111.35	$723.02	$1,274.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,551.00 / $5,235.00	Facility		$1,689.00	$2,551.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $754.00 / $1,032.88 / $1,701.46	Professional		$754.00	$1,032.88	$1,701.46