Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,355.00 / $10,817.74	Facility		$1,000.00	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.32 / $690.47 / $1,278.33	Professional		$645.32	$690.47	$1,278.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,405.00 / $14,996.00	Facility		$1,712.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $556.16 / $723.01 / $1,243.18	Professional		$556.16	$723.01	$1,243.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $767.59 / $1,199.35 / $1,411.02	Facility		$767.59	$1,199.35	$1,411.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,467.45 / $1,467.45 / $1,467.45	Professional		$1,467.45	$1,467.45	$1,467.45
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 $629.22 / $932.55 / $1,554.43	Professional		$629.22	$932.55	$1,554.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $667.12 / $980.04 / $1,554.43	Professional		$667.12	$980.04	$1,554.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.53 / $570.26 / $999.06	Professional		$74.53	$570.26	$999.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,551.00 / $5,235.00	Facility		$1,689.00	$2,551.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $600.02 / $787.72 / $1,326.68	Professional		$600.02	$787.72	$1,326.68