Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.34 / $5,355.00 / $10,817.74	Facility		$1,000.34	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $785.00 / $854.12 / $1,767.02	Professional		$785.00	$854.12	$1,767.02
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 $730.61 / $931.59 / $1,554.70	Professional		$730.61	$931.59	$1,554.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $947.69 / $1,379.96 / $1,379.96	Facility		$947.69	$1,379.96	$1,379.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $825.75 / $1,022.02 / $1,022.02	Professional		$825.75	$1,022.02	$1,022.02
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 $794.47 / $1,161.39 / $1,873.04	Professional		$794.47	$1,161.39	$1,873.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $842.33 / $1,219.92 / $1,873.04	Professional		$842.33	$1,219.92	$1,873.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $731.56 / $1,230.05	Professional		$75.89	$731.56	$1,230.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,513.00 / $7,847.00	Facility		$2,840.00	$5,513.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $762.61 / $985.61 / $1,669.34	Professional		$762.61	$985.61	$1,669.34