Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,130.15 / $4,197.00 / $10,635.00	Facility		$1,130.15	$4,197.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $730.99 / $840.38 / $1,865.40	Professional		$730.99	$840.38	$1,865.40
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 $643.82 / $831.88 / $1,383.42	Professional		$643.82	$831.88	$1,383.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $844.69 / $1,319.84 / $1,552.74	Facility		$844.69	$1,319.84	$1,552.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,614.86 / $1,614.86 / $1,614.86	Professional		$1,614.86	$1,614.86	$1,614.86
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 $730.16 / $1,035.17 / $1,712.06	Professional		$730.16	$1,035.17	$1,712.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $774.14 / $1,102.97 / $1,712.06	Professional		$774.14	$1,102.97	$1,712.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.53 / $633.32 / $1,092.09	Professional		$74.53	$633.32	$1,092.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,466.00 / $4,321.00 / $7,351.00	Facility		$2,466.00	$4,321.00	$7,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $701.12 / $910.54 / $1,534.21	Professional		$701.12	$910.54	$1,534.21