Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,326.14 / $6,251.00 / $11,581.00	Facility		$1,326.14	$6,251.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.82 / $891.82 / $2,780.60	Professional		$891.82	$891.82	$2,780.60
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 $716.73 / $1,028.72 / $1,706.11	Professional		$716.73	$1,028.72	$1,706.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $853.12 / $1,023.74 / $1,267.10	Facility		$853.12	$1,023.74	$1,267.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $723.17 / $938.43 / $938.43	Professional		$723.17	$938.43	$938.43
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 $670.92 / $1,180.34 / $1,785.86	Professional		$670.92	$1,180.34	$1,785.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $707.09 / $1,194.35 / $1,764.85	Professional		$707.09	$1,194.35	$1,764.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.90 / $739.30 / $1,208.49	Professional		$112.90	$739.30	$1,208.49
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 $759.30 / $1,052.65 / $1,827.45	Professional		$759.30	$1,052.65	$1,827.45