Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,194.00 / $10,817.74	Facility		$1,000.00	$5,194.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $786.55 / $889.50 / $1,491.89	Professional		$786.55	$889.50	$1,491.89
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 $645.11 / $826.79 / $1,459.29	Professional		$645.11	$826.79	$1,459.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $898.04 / $898.04 / $898.04	Facility		$898.04	$898.04	$898.04
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 $781.74 / $1,100.54 / $1,819.50	Professional		$781.74	$1,100.54	$1,819.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $823.20 / $1,172.08 / $1,819.50	Professional		$823.20	$1,172.08	$1,819.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.53 / $667.56 / $1,141.79	Professional		$74.53	$667.56	$1,141.79
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 $681.59 / $973.70 / $1,642.60	Professional		$681.59	$973.70	$1,642.60