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 $752.74 / $809.00 / $1,729.72	Professional		$752.74	$809.00	$1,729.72
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 $691.99 / $895.25 / $1,474.56	Professional		$691.99	$895.25	$1,474.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $898.43 / $1,308.22 / $1,308.22	Facility		$898.43	$1,308.22	$1,308.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $842.58 / $968.89 / $968.89	Professional		$842.58	$968.89	$968.89
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 $761.12 / $1,101.01 / $1,826.21	Professional		$761.12	$1,101.01	$1,826.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $806.97 / $1,171.25 / $1,826.21	Professional		$806.97	$1,171.25	$1,826.21
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 $2,840.00 / $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 $711.05 / $948.07 / $1,599.27	Professional		$711.05	$948.07	$1,599.27