Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.64 / $6,298.00 / $12,565.00	Facility		$478.64	$6,298.00	$12,565.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.89 / $727.94 / $1,104.56	Professional		$274.89	$727.94	$1,104.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,952.00 / $6,813.00 / $29,406.00	Facility		$1,952.00	$6,813.00	$29,406.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.04 / $881.35 / $2,469.73	Professional		$308.04	$881.35	$2,469.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $283.13 / $449.75 / $567.77	Facility		$283.13	$449.75	$567.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $853.35 / $853.35 / $1,512.75	Professional		$853.35	$853.35	$1,512.75
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 $322.66 / $737.18 / $1,819.54	Professional		$322.66	$737.18	$1,819.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $333.09 / $806.80 / $1,819.54	Professional		$333.09	$806.80	$1,819.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $704.95 / $960.76 / $1,312.80	Professional		$704.95	$960.76	$1,312.80
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,448.00 / $13,382.00	Facility		$4,070.00	$8,448.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $868.81 / $1,335.71 / $2,097.25	Professional		$868.81	$1,335.71	$2,097.25