Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $958.48 / $5,706.00 / $11,581.00	Facility		$958.48	$5,706.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.28 / $791.52 / $1,368.78	Professional		$758.28	$791.52	$1,368.78
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 $542.80 / $680.74 / $1,209.38	Professional		$542.80	$680.74	$1,209.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $874.52 / $1,607.60 / $13,455.71	Facility		$874.52	$1,607.60	$13,455.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,671.89 / $1,671.89 / $1,671.89	Professional		$1,671.89	$1,671.89	$1,671.89
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 $765.62 / $1,072.21 / $1,824.84	Professional		$765.62	$1,072.21	$1,824.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $802.02 / $1,155.33 / $1,791.03	Professional		$802.02	$1,155.33	$1,791.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,706.12 / $4,890.00 / $7,778.00	Facility		$2,706.12	$4,890.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $714.03 / $952.04 / $1,608.74	Professional		$714.03	$952.04	$1,608.74