Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.00 / $5,072.00 / $11,581.00	Facility		$324.00	$5,072.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.43 / $1,869.47 / $3,145.88	Professional		$184.43	$1,869.47	$3,145.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,869.00 / $14,996.00	Facility		$1,760.00	$3,869.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.89 / $1,348.78 / $2,961.72	Professional		$167.89	$1,348.78	$2,961.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $200.27 / $240.32 / $375.51	Facility		$200.27	$240.32	$375.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,135.98 / $2,135.98 / $3,786.53	Professional		$2,135.98	$2,135.98	$3,786.53
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 $216.19 / $494.31 / $3,941.89	Professional		$216.19	$494.31	$3,941.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $220.30 / $627.29 / $3,941.89	Professional		$220.30	$627.29	$3,941.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,836.62 / $2,510.12 / $3,515.91	Professional		$1,836.62	$2,510.12	$3,515.91
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,998.00 / $7,847.00	Facility		$2,840.00	$5,998.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,826.25 / $2,941.63 / $5,296.83	Professional		$1,826.25	$2,941.63	$5,296.83