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 $742.64 / $793.84 / $1,696.31	Professional		$742.64	$793.84	$1,696.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,025.00 / $8,800.00	Facility		$1,152.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.26 / $858.34 / $1,435.77	Professional		$660.26	$858.34	$1,435.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $881.65 / $1,283.79 / $1,283.79	Facility		$881.65	$1,283.79	$1,283.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $754.22 / $950.80 / $950.80	Professional		$754.22	$950.80	$950.80
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 $761.16 / $1,080.45 / $1,790.91	Professional		$761.16	$1,080.45	$1,790.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $807.02 / $1,131.99 / $1,790.91	Professional		$807.02	$1,131.99	$1,790.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $682.90 / $1,132.41	Professional		$75.89	$682.90	$1,132.41
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 $712.14 / $949.52 / $1,599.35	Professional		$712.14	$949.52	$1,599.35