Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,078.96 / $5,201.00 / $11,627.00	Facility		$1,078.96	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $798.39 / $798.39 / $2,091.78	Professional		$798.39	$798.39	$2,091.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,437.00 / $19,117.00	Facility		$2,084.00	$4,437.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $641.25 / $932.80 / $1,501.38	Professional		$641.25	$932.80	$1,501.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $754.42 / $905.30 / $1,120.52	Facility		$754.42	$905.30	$1,120.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $809.26 / $829.86 / $829.86	Professional		$809.26	$829.86	$829.86
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 $666.27 / $1,056.18 / $1,604.67	Professional		$666.27	$1,056.18	$1,604.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $745.03 / $1,079.58 / $1,581.63	Professional		$745.03	$1,079.58	$1,581.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.58 / $652.99 / $1,059.48	Professional		$77.58	$652.99	$1,059.48
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,578.00 / $10,075.00	Facility		$3,206.00	$6,578.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $681.57 / $926.51 / $1,679.01	Professional		$681.57	$926.51	$1,679.01