Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,095.64 / $5,201.00 / $11,627.00	Facility		$1,095.64	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $808.05 / $808.05 / $2,133.25	Professional		$808.05	$808.05	$2,133.25
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 $626.28 / $861.73 / $1,436.87	Professional		$626.28	$861.73	$1,436.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $765.09 / $918.11 / $1,219.36	Facility		$765.09	$918.11	$1,219.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $841.60 / $841.60 / $1,491.93	Professional		$841.60	$841.60	$1,491.93
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 $652.37 / $1,060.60 / $1,628.38	Professional		$652.37	$1,060.60	$1,628.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $705.55 / $1,071.13 / $1,600.99	Professional		$705.55	$1,071.13	$1,600.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.58 / $657.68 / $1,081.78	Professional		$77.58	$657.68	$1,081.78
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 $676.42 / $989.15 / $1,722.18	Professional		$676.42	$989.15	$1,722.18