Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,205.64 / $8,037.00 / $11,754.00	Facility		$1,205.64	$8,037.00	$11,754.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $810.79 / $810.79 / $1,742.45	Professional		$810.79	$810.79	$1,742.45
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 $642.94 / $879.55 / $1,505.59	Professional		$642.94	$879.55	$1,505.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $774.19 / $929.03 / $1,149.88	Facility		$774.19	$929.03	$1,149.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $744.16 / $851.61 / $851.61	Professional		$744.16	$851.61	$851.61
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 $656.20 / $1,057.40 / $1,633.51	Professional		$656.20	$1,057.40	$1,633.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $767.47 / $1,083.86 / $1,633.51	Professional		$767.47	$1,083.86	$1,633.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.58 / $682.09 / $1,094.97	Professional		$77.58	$682.09	$1,094.97
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 $663.60 / $991.09 / $1,743.59	Professional		$663.60	$991.09	$1,743.59