Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.53 / $6,251.00 / $11,581.00	Facility		$1,129.53	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.60 / $759.60 / $1,967.23	Professional		$759.60	$759.60	$1,967.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,191.00 / $3,025.00 / $8,800.00	Facility		$1,191.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $563.36 / $776.45 / $1,341.01	Professional		$563.36	$776.45	$1,341.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $718.94 / $862.73 / $1,348.02	Facility		$718.94	$862.73	$1,348.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $790.83 / $790.83 / $1,401.93	Professional		$790.83	$790.83	$1,401.93
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 $613.34 / $990.76 / $1,538.53	Professional		$613.34	$990.76	$1,538.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $653.92 / $1,006.52 / $1,538.53	Professional		$653.92	$1,006.52	$1,538.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.58 / $626.51 / $1,029.91	Professional		$77.58	$626.51	$1,029.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,665.00 / $5,268.00	Facility		$1,689.00	$2,665.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $632.10 / $950.22 / $1,624.77	Professional		$632.10	$950.22	$1,624.77