Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.25 / $6,251.00 / $11,581.00	Facility		$1,071.25	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.41 / $720.41 / $2,220.76	Professional		$720.41	$720.41	$2,220.76
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 $530.22 / $729.83 / $1,262.11	Professional		$530.22	$729.83	$1,262.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $680.93 / $817.12 / $1,011.36	Facility		$680.93	$817.12	$1,011.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $575.83 / $749.02 / $749.02	Professional		$575.83	$749.02	$749.02
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 $577.30 / $918.15 / $1,450.27	Professional		$577.30	$918.15	$1,450.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $593.20 / $953.30 / $1,424.34	Professional		$593.20	$953.30	$1,424.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.58 / $587.61 / $960.07	Professional		$77.58	$587.61	$960.07
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 $607.16 / $916.32 / $1,524.87	Professional		$607.16	$916.32	$1,524.87