Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.97 / $3,325.00 / $10,635.00	Facility		$1,096.97	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $817.53 / $817.53 / $2,177.64	Professional		$817.53	$817.53	$2,177.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,142.00 / $19,117.00	Facility		$2,003.00	$4,142.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $683.86 / $995.96 / $1,622.11	Professional		$683.86	$995.96	$1,622.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $779.35 / $935.22 / $1,157.53	Facility		$779.35	$935.22	$1,157.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $786.88 / $857.29 / $857.29	Professional		$786.88	$857.29	$857.29
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 $695.55 / $1,099.16 / $1,661.22	Professional		$695.55	$1,099.16	$1,661.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $779.35 / $1,146.75 / $1,678.44	Professional		$779.35	$1,146.75	$1,678.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $659.81 / $1,079.38	Professional		$78.92	$659.81	$1,079.38
United Facility/Professional Facility Modifier Low / Median / High Price $3,793.00 / $6,579.00 / $10,989.00	Facility		$3,793.00	$6,579.00	$10,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $710.29 / $1,017.54 / $1,721.11	Professional		$710.29	$1,017.54	$1,721.11