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 $756.47 / $804.45 / $1,727.24	Professional		$756.47	$804.45	$1,727.24
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 $700.24 / $888.82 / $1,515.87	Professional		$700.24	$888.82	$1,515.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $910.01 / $1,325.11 / $1,325.11	Facility		$910.01	$1,325.11	$1,325.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $769.97 / $981.39 / $981.39	Professional		$769.97	$981.39	$981.39
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 $765.67 / $1,115.22 / $1,829.50	Professional		$765.67	$1,115.22	$1,829.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $811.80 / $1,182.49 / $1,829.50	Professional		$811.80	$1,182.49	$1,829.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $698.36 / $1,159.79	Professional		$75.89	$698.36	$1,159.79
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 $723.98 / $953.85 / $1,608.82	Professional		$723.98	$953.85	$1,608.82