Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,296.98 / $6,251.00 / $11,581.00	Facility		$1,296.98	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $752.19 / $882.25 / $1,737.34	Professional		$752.19	$882.25	$1,737.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,405.00 / $29,300.94 / $53,822.78	Facility		$3,405.00	$29,300.94	$53,822.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $729.16 / $1,024.86 / $1,628.05	Professional		$729.16	$1,024.86	$1,628.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $799.00 / $1,025.45 / $1,361.93	Facility		$799.00	$1,025.45	$1,361.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $939.99 / $1,196.35 / $127,498.73	Professional		$939.99	$1,196.35	$127,498.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,048.16 / $1,048.16 / $1,048.16	Professional		$1,048.16	$1,048.16	$1,048.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,523.87 / $1,653.57 / $1,653.57	Professional		$1,523.87	$1,653.57	$1,653.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $622.08 / $1,083.97	Professional		$72.37	$622.08	$1,083.97
United Facility/Professional Facility Modifier Low / Median / High Price $4,227.00 / $8,928.00 / $14,134.00	Facility		$4,227.00	$8,928.00	$14,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $718.35 / $1,085.49 / $1,819.25	Professional		$718.35	$1,085.49	$1,819.25