Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.50 / $4,723.00 / $11,627.00	Facility		$991.50	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.50 / $991.50 / $1,991.05	Professional		$991.50	$991.50	$1,991.05
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 $788.91 / $1,113.99 / $1,851.48	Professional		$788.91	$1,113.99	$1,851.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $948.25 / $1,137.90 / $1,408.40	Facility		$948.25	$1,137.90	$1,408.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $967.67 / $1,043.08 / $1,043.08	Professional		$967.67	$1,043.08	$1,043.08
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 $874.31 / $1,332.95 / $2,029.26	Professional		$874.31	$1,332.95	$2,029.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $945.49 / $1,427.04 / $2,029.26	Professional		$945.49	$1,427.04	$2,029.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.32 / $827.31 / $1,339.36	Professional		$116.32	$827.31	$1,339.36
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 $889.92 / $1,260.29 / $2,203.26	Professional		$889.92	$1,260.29	$2,203.26