Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,372.09 / $4,197.00 / $10,268.00	Facility		$1,372.09	$4,197.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $768.31 / $879.07 / $1,484.92	Professional		$768.31	$879.07	$1,484.92
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 $685.04 / $880.07 / $1,459.93	Professional		$685.04	$880.07	$1,459.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $894.52 / $1,397.69 / $1,644.35	Facility		$894.52	$1,397.69	$1,644.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $835.72 / $964.68 / $1,710.11	Professional		$835.72	$964.68	$1,710.11
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 $770.47 / $1,096.23 / $1,797.34	Professional		$770.47	$1,096.23	$1,797.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $816.88 / $1,169.43 / $1,797.34	Professional		$816.88	$1,169.43	$1,797.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.53 / $651.91 / $1,129.97	Professional		$74.53	$651.91	$1,129.97
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 $725.85 / $960.09 / $1,696.97	Professional		$725.85	$960.09	$1,696.97