Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,028.04 / $4,723.00 / $10,268.00	Facility		$1,028.04	$4,723.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.35 / $691.35 / $1,956.43	Professional		$691.35	$691.35	$1,956.43
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 $598.52 / $809.76 / $1,424.70	Professional		$598.52	$809.76	$1,424.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $651.78 / $782.14 / $968.06	Facility		$651.78	$782.14	$968.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $713.90 / $716.96 / $716.96	Professional		$713.90	$716.96	$716.96
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 $568.22 / $919.74 / $1,541.37	Professional		$568.22	$919.74	$1,541.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $651.78 / $1,002.57 / $1,538.89	Professional		$651.78	$1,002.57	$1,538.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.58 / $577.70 / $931.81	Professional		$77.58	$577.70	$931.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $666.35 / $957.40 / $1,641.56	Professional		$666.35	$957.40	$1,641.56