Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.72 / $7,234.00 / $11,735.00	Facility		$281.72	$7,234.00	$11,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.63 / $2,329.36 / $4,418.79	Professional		$166.63	$2,329.36	$4,418.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,426.00 / $19,117.00	Facility		$2,084.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.13 / $185.97 / $322.39	Professional		$141.13	$185.97	$322.39
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $211.71 / $278.95 / $459.31	Professional	50	$211.71	$278.95	$459.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $159.63 / $191.56 / $237.09	Facility		$159.63	$191.56	$237.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,322.73 / $2,322.73 / $3,001.13	Professional		$2,322.73	$2,322.73	$3,001.13
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 $186.77 / $348.21 / $4,139.13	Professional		$186.77	$348.21	$4,139.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $193.44 / $348.21 / $4,293.32	Professional		$193.44	$348.21	$4,293.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,986.90 / $2,670.04 / $3,814.00	Professional		$1,986.90	$2,670.04	$3,814.00
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 $2,641.22 / $3,845.57 / $6,213.97	Professional		$2,641.22	$3,845.57	$6,213.97