Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.63 / $4,886.00 / $11,581.00	Facility		$649.63	$4,886.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.82 / $649.63 / $1,125.78	Professional		$535.82	$649.63	$1,125.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,967.00 / $14,996.00	Facility		$1,760.00	$3,967.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $449.85 / $702.83 / $1,186.96	Professional		$449.85	$702.83	$1,186.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $546.13 / $867.53 / $1,182.78	Facility		$546.13	$867.53	$1,182.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $775.39 / $775.39 / $1,374.56	Professional		$775.39	$775.39	$1,374.56
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 $613.29 / $902.27 / $1,395.36	Professional		$613.29	$902.27	$1,395.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $639.16 / $916.38 / $1,395.36	Professional		$639.16	$916.38	$1,395.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $573.36 / $993.99	Professional		$78.92	$573.36	$993.99
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 $621.28 / $942.37 / $1,525.71	Professional		$621.28	$942.37	$1,525.71