Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.72 / $4,723.00 / $11,627.00	Facility		$791.72	$4,723.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.72 / $791.72 / $1,569.92	Professional		$791.72	$791.72	$1,569.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,291.00 / $4,932.00 / $25,522.00	Facility		$2,291.00	$4,932.00	$25,522.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $681.11 / $971.81 / $1,569.47	Professional		$681.11	$971.81	$1,569.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $757.64 / $909.17 / $1,207.49	Facility		$757.64	$909.17	$1,207.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $833.40 / $833.40 / $1,477.40	Professional		$833.40	$833.40	$1,477.40
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 $720.00 / $1,094.58 / $1,621.34	Professional		$720.00	$1,094.58	$1,621.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $763.80 / $1,152.21 / $1,650.29	Professional		$763.80	$1,152.21	$1,650.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $656.63 / $1,059.83	Professional		$78.29	$656.63	$1,059.83
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 $701.72 / $1,008.21 / $1,744.38	Professional		$701.72	$1,008.21	$1,744.38