Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.06 / $4,723.00 / $11,627.00	Facility		$977.06	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.06 / $977.06 / $1,938.83	Professional		$977.06	$977.06	$1,938.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,470.00 / $14,289.99 / $27,009.01	Facility		$4,470.00	$14,289.99	$27,009.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $838.31 / $1,196.32 / $1,921.70	Professional		$838.31	$1,196.32	$1,921.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $935.17 / $1,122.20 / $1,388.98	Facility		$935.17	$1,122.20	$1,388.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,028.69 / $1,028.69 / $1,084.26	Professional		$1,028.69	$1,028.69	$1,084.26
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 $861.54 / $1,321.22 / $2,001.25	Professional		$861.54	$1,321.22	$2,001.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $931.71 / $1,406.53 / $2,001.25	Professional		$931.71	$1,406.53	$2,001.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.32 / $822.24 / $1,322.83	Professional		$116.32	$822.24	$1,322.83
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 $847.97 / $1,238.16 / $2,131.86	Professional		$847.97	$1,238.16	$2,131.86