Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $807.49 / $4,723.00 / $11,627.00	Facility		$807.49	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $807.49 / $807.49 / $1,623.98	Professional		$807.49	$807.49	$1,623.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,315.00 / $7,945.73 / $14,996.00	Facility		$3,315.00	$7,945.73	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $692.64 / $1,002.13 / $1,631.87	Professional		$692.64	$1,002.13	$1,631.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $772.06 / $926.47 / $1,146.71	Facility		$772.06	$926.47	$1,146.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $849.27 / $849.27 / $908.18	Professional		$849.27	$849.27	$908.18
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 $838.18 / $1,175.20 / $1,679.36	Professional		$838.18	$1,175.20	$1,679.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $850.69 / $1,184.15 / $1,714.07	Professional		$850.69	$1,184.15	$1,714.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $663.31 / $1,080.45	Professional		$78.29	$663.31	$1,080.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $721.12 / $1,020.32 / $1,754.17	Professional		$721.12	$1,020.32	$1,754.17