Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.64 / $2,260.44 / $11,627.00	Facility		$627.64	$2,260.44	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.58 / $722.60 / $1,090.73	Professional		$570.58	$722.60	$1,090.73
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 $516.87 / $753.70 / $1,288.00	Professional		$516.87	$753.70	$1,288.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $632.77 / $632.77 / $632.77	Facility		$632.77	$632.77	$632.77
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 $588.14 / $863.70 / $1,449.31	Professional		$588.14	$863.70	$1,449.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $629.74 / $935.02 / $1,426.82	Professional		$629.74	$935.02	$1,426.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.16 / $592.69 / $1,042.83	Professional		$109.16	$592.69	$1,042.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,138.00 / $6,522.00	Facility		$2,233.00	$4,138.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $690.20 / $909.46 / $1,869.67	Professional		$690.20	$909.46	$1,869.67